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

Outbound TransactionsSegmentNameSegment IDLoop IDUsageSegmentNotesISAN/ARequiredInterchange Control HeaderAll positions within each data element in the ISA segment must be filled.Delimiters are specified in the interchange header segment.The character immediately following the segment ID, ISA, defines the dataelements separator. The last character in the segment defines the componentelement separator, and the segment terminator is the byte that immediatelyfollows the component element separator. Examples of the separators are asfollows:Character Name Delimiter* Asterisk Data Element Separator: Colon Sub-element Separator~ Tilde Segment TerminatorWhile it is not required that submitters use these specific delimiters, they are the ones that thePEACH STATE HEALTH PLAN uses for all outbound transactions.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 QualifierZZISA06 R Interchange Sender ID For batch transactions, this is thesender ID assigned by PEACH17