See ECR: Information and Instructions for more details. Select the appropriate forms based on your role as either a healthcare provider or a clearinghouse/billing service. Electronic Connectivity Request (ECR) FormsĪny entity wishing to exchange HIPAA (X12) files with Blue Cross NC must submit the appropriate ECR form. To start the process, complete the appropriate Electronic Connectivity Request form and submit it to eSolutions. This agreement will be sent electronically to new trading partners during the set up period by the EDI Analyst. The Trading Partner Agreement establishes the formal business relationship between a sender/receiver of electronic files and Blue Cross and Blue Shield of North Carolina. HIPAA Information | HIPAA Testing | Companion Guide | HIPAA Sample Documents Agreements, Forms, and Instructions for download: Trading Partner Agreement Non-Discrimination Policy and Accessibility Services.Get a Quote for Individual and Family PlansĪncillary and Specialty Benefits for Employees.

Health Plans for Individuals and Families.