Vendor Forms

These forms are described in more detail under Providers > Vendor Companion Guides.
Forms
Vendor Trading Partner Agreement Vendor Trading Partner Agreement - Medicaid-required form for all EDI Trading Partners
Port Closure Form Fillable - Port Closure Form - Grants HP Enterprise Services permission to close existing X12 270/271 and/or 276/277 testing and production ports. Submit by fax to EMC Help Desk (334) 215-4272.