FTP Activation Form

Complete the form below and submit it online. Please send your public key to HCSC FTP Membership. This must be a public key generated from your PGP encryption software. Once your public key has been received and loaded, you will receive a confirmation email. For more information, please call our E-Commerce Center at 1-800-746-4614.


Note: All fields are required

Company Name:  
Address:  
City/State/Zip: / /  
BCBS Assigned ID Number:  
Contact Name:  
Contact Telephone Number: -  
Contact Fax Number: -  
Contact Email Address:  
   
 

Disclaimer: If you reside outside of the United States of America, please call the E-Commerce Center at 1-800-746-4614.