Trading Partner Profile
The Indiana Health Coverage Programs (IHCP) and Indiana Prescription Drug Program (IPDP) require specific information for electronic data submission. Please provide the requested information to assist with establishing an electronic data interchange (EDI) trading partner relationship with the IHCP/IPDP.
Data will be submitted electronically by one of the following: (Check the appropriate box)
Provider
Clearinghouse / Billing Service
Vendor
Managed Care Organization
Medicare Intermediary / Carrier
VAN
Banner List
Bulletin List
Fee Schedule
Forms
IHCP Email Notifications
LTC DME Per Diem
Manuals
Newsletters
Preferred Drug Listing
Provider Code Sets
State Plan
Take the
Provider Survey