837P Companion Guide - Peach State Health Plan Peach State ...

Element Usage Guide Description/Valid Values CommentsIDISA01 R Authorization Information Qualifier00 – No AuthorizationInformation PresentISA02 R Authorization Information Always blank. Insert 10 blankspaces.ISA03 R Security Information Qualifier00 – No Security InformationPresentISA04 R Security Information Always blank. Insert 10 blankspaces.ISA05 R Interchange ID QualifierZZ – Mutually DefinedISA06 R Interchange Sender ID For batch transactions, this is thesender ID assigned by the TradingPartner.. This field has a requiredlength of 15 bytes; therefore, thefield must be blank filled to the right.ISA07 R Interchange ID QualifierZZ – Mutually DefinedISA08 R Interchange Receiver ID This field has a required length of 15bytes; therefore, the field must beblank filled to the right.ISA09 R Interchange Date The date format is YYMMDD.ISA10 R Interchange Time The time format is HHMM.ISA11 R Interchange Control StandardsIdentifierU – U.S. EDI Community of ASCX12, TDCC, and UCSISA12 R Interchange Control VersionNumber00401 – Draft Standards forTrial Use Approved forPublication by ASC X12Procedures Review Boardthrough October 199713