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Trading Partner Enrollment (Transactions) Page

You use the Transactions page to add or edit the type of transactions you submit or receive as a trading partner to the enrollment application.

The Transactions page for Trading Partner Enrollment contains the following panels:

Transactions for Transmission Fields

Field Description
Would you like to send transactions?

Indicate if you plan to transmit transactions.

If Yes is selected, the Transaction Type panel is displayed so that you can indicate which transaction types you plan to send by the Electronic Data Interchange (EDI).

Transaction Type Fields

Indicates the types of transaction to be sent by the trading partner. If the trading partner classification is Carrier, only the 271 (TPL Coverage Response) transaction type is available.

All This option selects all the transactions listed.
270 (Eligibility Inquiry) Indicates you want to send this transaction.
271 (TPL Coverage Response) Indicates you want to send this transaction.
276 (Claim Inquiry) Indicates you want to send this transaction.
278 (Service Authorization Request) Indicates you want to send this transaction.
835-TPL Indicates you want to send this third-party liability claim payment advice transaction.
835 Indicates you want to send this claim payment advice transaction.
837D (837 Dental) Indicates you want to send this transaction.
837I (837 Institutional) Indicates you want to send this transaction.
837P (837 Professional) Indicates you want to send this transaction.
Pharmacy (NCPDP- v5.1) Indicates you want to send this transaction.

 

Transactions for Retrieval Fields

Field Description
Would you like to retrieve transactions?

Select Yes or No to indicate which transaction types you plan to retrieve.

If Yes is selected, the Transaction Type panel is displayed so that you can indicate which transaction types you wish to receive.

Transaction Type Fields

Indicates the types of transaction to be received by the trading partner. If the trading partner classification is Carrier, only the 270 (TPL Coverage Inquiry) transaction type is available."

Retrieval Connections

For each type of transaction, the connection method used by the trading partner to retrieve it.

Examples: Inbox, Connect Direct

All This option selects all the transactions listed.
271 (Eligibility Response) Indicates you want to retrieve this transaction.
278 (Service Authorization Response) Indicates you want to retrieve this transaction.
277 (Claim Inquiry Response) Indicates you want to retrieve this transaction.
835 (Remittance Advice) Indicates you can retrieve this transaction.
835 TPL Indicates you want to retrieve this third-party liability remittance advice transaction.
837 Indicates you want to retrieve this transaction.
Pharmacy (NCPDP- v5.1) Indicates you want to retrieve this transaction.
Delivery Destination

Indicates the delivery destination for the selected transactions.

Example: Inbox

 

Version as of 6/30/2015.

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