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

ElementIDUsage Guide Description/Valid Values CommentsFederal Tax NumberSTATE HEALTH PLAN This fieldhas a required length of 15 bytes;therefore, the field must be blankfilled to the right.ISA07 R Interchange ID QualifierZZ – Mutually DefinedISA08 R Interchange Receiver 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.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 1997ISA13 R Interchange Control Number This number is unique andincrements by 1 with each ISAsegment. It also matches theinterchange control number of theIEA02 of the interchange controltrailer.ISA14 R Acknowledgment Requested1 – InterchangeAcknowledgment RequestedISA15 R Usage IndicatorP – Production DataT – Test Data18PEACH STATE HEALTH PLANalways requires an acknowledgmentfile for each file submitted to atrading partner.During testing the usage indicator isa T. After the trading partner hasapproved, the usage indicator willbe a P.