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

Segment and Data Element DescriptionThis section contains a tabular representation of any segment that is required or situational forthe PEACH STATE HEALTH PLAN HIPAA implementation of the 837. Each segment tablecontains rows and columns describing different elements of the segment.Segment Name The industry assigned segment name as identified in theImplementation Guide (IG)Segment ID The industry assigned segment ID as identified in the IGLoop IDThe loop within which the segment should appearUsageIdentifies the segment as required or situationalSegment Notes A brief description of the purpose or use of the segmentElement IDUsage Identifies the data element as R-required, S-situational, or X-not usedGuideIndustry name associated with the data element. If noDescription/Valid industry name exists, this is the IG data element name. ThisValuescolumn also lists in BOLD type values and/or code sets to beused.Comments Description of the contents of the data elements (includingfield lengths)Segment NameTransaction Set HeaderSegment IDSTLoop IDN/AUsageRequiredSegment NotesElement Usage Guide Description/ValidCommentsIDValuesST01 R Transaction Set Identifier 837: Health Care ClaimCodeST02 R Transaction set ControlNumberSegment NameSegment IDLoop IDUsageBeginning of Hierarchical TransactionBHTN/ARequired35