Trading Partner Agreement
Our Trading Partner Agreement follows HIPAA guidelines for transactions, medical code sets, privacy and security. The TPA is a contract that must be completed by all providers and submitters who trade health care information electronically with us.
Step 1: Request User ID and Password
To complete the TPA, you'll need a user ID and password. Request a user ID and password now.
Step 2: Login and Complete the TPA
Once you've received your TPA user ID and password from us, enter them in the fields to the left and select Enter to login.
Please have the following information available when you login:
- Trading Partner ID of the entity that submits your claims electronically
- Billing NPI for BCBSM, BCN HMO, Medicare and Medicaid, as applicable (providers only)
- Provider's Federal Tax ID Number (providers only)
Note: After 25 minutes of inactivity on the TPA web forms, the system will time out and you will need to login again. Any information you entered but did not submit will be lost.
Step 3: Print a Copy for Your Records
You will be given the opportunity to print a copy of your completed TPA form. Please ensure that your printer is on and ready for printing.
Questions? We can help!
Download step-by-step instructions for completing the TPA (PDF) or call us at 800-542-0945.