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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. Vendor/Clearinghouse Electronic Data Interchange Agreement
  2. New EDI Vendor Form
  3. Electronic Remittance Advice (835) Enrollment Form

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