Form DWC EDI-02 Insurance Carrier or Trading Partner Medical Electronic Data Interchange (Edi) Profile - Texas

Form DWC EDI-02 Insurance Carrier or Trading Partner Medical Electronic Data Interchange (Edi) Profile - Texas

What Is Form DWC EDI-02?

This is a legal form that was released by the Texas Department of Insurance - Division of Workers' Compensation - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DWC EDI-02 form?
A: The DWC EDI-02 form is the Insurance Carrier or Trading Partner Medical Electronic Data Interchange (EDI) Profile specific to Texas.

Q: What is the purpose of the DWC EDI-02 form?
A: The purpose of the DWC EDI-02 form is to provide information about the insurance carrier or trading partner's electronic data interchange (EDI) capabilities and requirements for medical transactions in Texas.

Q: Who needs to complete the DWC EDI-02 form?
A: Insurance carriers or trading partners that engage in electronic data interchange (EDI) for medical transactions in Texas need to complete the DWC EDI-02 form.

Q: What information is required in the DWC EDI-02 form?
A: The DWC EDI-02 form requires information such as the insurance carrier or trading partner's contact details, EDI trading partner agreement, EDI transaction types, and technical specifications.

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Form Details:

  • Released on April 1, 2022;
  • The latest edition provided by the Texas Department of Insurance - Division of Workers' Compensation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DWC EDI-02 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance - Division of Workers' Compensation.

Download Form DWC EDI-02 Insurance Carrier or Trading Partner Medical Electronic Data Interchange (Edi) Profile - Texas

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