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Electronic solutions
Agreements, Forms, and Instructions for download:
| Trading Partner Agreement |
| This contract establishes the formal relationship between a sender of electronic files and Blue Cross and Blue Shield of North Carolina. This agreement, along with the Electronic Connectivity Request Form, needs to be completed by all trading partners and mailed to EDI Services before electronic transmissions are exchanged. |
download |
| Trading Partner Agreement Instructions |
| These instructions include information about who needs to complete the form, to whom it is sent, and what other forms need to be included for a complete package. |
download |
| Electronic Connectivity Request (ECR) Forms |
| Any Health Care provider wishing to transmit files electronically to BCBSNC needs to complete. See ECR: Information and Instructions for details. |
ECR - 837, 27X, 835*
*Note that the 835 Remittance Advice is offered only to participating providers. |
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| Medicare Crossover 835 ECR Form |
download |
| ECR: Information and Instructions |
| These instructions include information about who needs to complete the form, to whom it is sent, and what other forms need to be included for a complete package. |
download |
| Electronic Funds Transfer (EFT) Authorization Form |
| Complete an Electronic Funds Transfer (EFT) Authorization Form to have claims payments deposited directly to your bank account. Direct deposit payments are generally faster and safer than paper checks. Instructions for completing and submitting the form are included. |
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