PA Resources Portlet

Resources

CODING & DOCUMENTATION

EDUCATION & EVENTS

ENROLLMENT & CREDENTIALING

FORMS & MANUALS

HEALTHCARE INFORMATION & TECHNOLOGY

PATIENT HEALTH

PHARMACY

POLICIES & GUIDELINES

PRE-SERVICE REVIEW

PROGRAMS & INITIATIVES

PROVIDER NETWORKS & SPECIALTIES

PA Dynamic Rendering

Information for Vendors/Clearinghouses

New Vendor Forms and Instructions

Below are the forms needed to become an approved vendor. New vendors must first test with us. After completing the forms below, email edivendortesting@bcbsal.org to get started:

  1. Electronic Data Trading Partner Agreement
  2. New EDI Vendor Form
  3. Electronic Remittance Advice (835) Enrollment Form
  4. Electronic Remittance Advice (835) Out-of-Area Enrollment Form

Companion Guides