MO HEALTHNET SOAP WEBSERVICE TRADING ... - eMOMED

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Dec 14, 2013 (8 years and 1 month ago)

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MO HEALTHNET SOAP WEBSERVICE TRADING PARTNER AGREEMENT


This document constitutes a Trading Partner Agreement between the submitter and the State of Missouri and
the fiscal
agent
Infocrossing Healthcare Services
, Inc.

(I
H
S)

for the purpose of exchanging in
formation and electronic transactions related to
the submission of M
O HealthNet

claims.

Simple Object Access Protocol (SOAP) is a structured

XML based protocol for
communicating with
WebServices

over a

computer network.


SOAP
utilizes
Hypertext Transfer Pr
otocol

over SSL
(HTTP
/S
)
for message transmission.


The submitter desires to exchange claims and billing information electronically with the State and
IHS
. The electronic
transactions may contain protected health information (PHI) as defined under the Hea
lth Insurance Portability and
Accountability Act of 1996 (HIPAA). The submitter agrees to safeguard and process any and all PHI or other data received,
transmitted or accessed electronically to or from the State and
IHS

in accordance with HIPAA requirement
s applicable to the
submitter, including guidelines defined in the HIPAA implementation guides.


Additionally, CORE
-
certified

and CORE compliant

entities must be able to implement HTTP/S Version 1.1 over the
public Internet as a transportation meth
od for
ASC X12N 270/271 (005010X
279A1)
and ASC X12N 276/277
(005010X212
) transactions
.


HTTP/S is a secure, reliable, ubiquitous protocol that has a proven record of support for high
-
volume
real time and
batch
transaction exchange and security in healthcare an
d other industries. (CORE Rule 153 v1.1.0)

Included is a
means of more prescriptive submitter authentication, envelope specifications and metadata. (CORE Rule 270

v2.2.0
)
A

Safe Harbor is applicable when an entity uses, conducts or processes the X12 2
70/27
1 Eligibility and Benefits,
Implementation Acknowledgement X12 999,
and X12 276/277 Claim Status transactions.



This Trading Partner Agreement shall be interpreted to be consistent with the HIPAA requirements on trading partner

agreements found at 45 CFR
§ 162.915.


Please fax the completed form to 573
-
635
-
0316.





Version/Transaction

(select all that apply
)





Eligibility

Benefit Inquiry & Response


ASC X12N 270/271 (00
5
010X
279A1
)



Claim Status Inquiry
& Response


ASC X12
N

276/
277 (00
5
010X
212
)






Submitter

Demographic
D
ata

-

All fields are required


Business name

________________________________
________________________________
________



Contact name

________________________________
________________________________
_________



Contact
phone number

________________________________
________________________________
__



Contact
e
mail address



________________________________
________________________________
__



eMomed

S
ubmitter ID

________________________________
________________________________
__