What do I need to do to transmit HIPAA‑compliant electronic transactions with Blue Cross NC?

What’s required depends on whether you send transactions directly to us or transmit them through another organization.

If you send transactions directly to Blue Cross NC:

You’ll need to complete the following steps:

• Complete a Blue Cross NC Trading Partner Agreement (TPA). A TPA is required even if testing isn’t needed.
• Return an original copy of the TPA, signed by authorized personnel, to Blue Cross NC EDI Services.
• Complete an Electronic Connectivity Request (ECR) form for each transaction type you want to transmit.

If you send transactions through a clearinghouse, billing service, or service bureau:

• Complete an ECR form for each transaction type you want to submit or receive.

Your clearinghouse or service bureau may complete and submit the ECR form on your behalf.

TPA and ECR forms and additional instructions are available on the HIPAA information page.