Differences

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--- compantion_guide [2025/09/03 17:16] – [GS Segment (Functional Group Header)] brad.sharp
+++ compantion_guide [2026/05/12 18:48] (current) – Renamed to companion_guide (typo fix) brad.sharp
@@ Line 1: / Line 1: @@
-====== 837 Companion Guide – Header and Submitter Information ======
-The following sections explain how to populate the ISA, GS, and 1000A loops when sending 837 files to **ClaimRev**.
----
-===== ISA Segment (Interchange Control Header) =====
-The ISA segment is the fixed-length envelope header that begins every 837 EDI transaction.
-^ Element  ^ Name  ^ Req  ^ Length  ^ What to Use  |
-| ISA01 | Authorization Info Qualifier | R | 2 | 00 (No authorization info) |
-| ISA02 | Authorization Info | R | 10 | 0000000000 |
-| ISA03 | Security Info Qualifier | R | 2 | 00 (No security info) |
-| ISA04 | Security Info | R | 10 | 0000000000 |
-| ISA05 | Interchange ID Qualifier (Sender) | R | 2 | ZZ |
-| ISA06 | Interchange Sender ID | R | 15 | Account Number (space-filled) |
-| ISA07 | Interchange ID Qualifier (Receiver) | R | 2 | ZZ |
-| ISA08 | Interchange Receiver ID | R | 15 | CLAIMREV |
-| ISA09 | Interchange Date | R | 6 | YYMMDD |
-| ISA10 | Interchange Time | R | 4 | HHMM (24-hour) |
-| ISA11 | Repetition Separator | R | 1 | <nowiki>^</nowiki> |
-| ISA12 | Interchange Control Version | R | 5 | 00501 |
-| ISA13 | Interchange Control Number | R | 9 | Unique, matches IEA02 |
-| ISA14 | Acknowledgment Requested | R | 1 | 0 or 1 |
-| ISA15 | Usage Indicator | R | 1 | P = Production |
-| ISA16 | Component Element Separator | R | 1 | : |
-**Example ISA (Production):**
-ISA*00*00*ZZ*SUBMITTERID*ZZ*CLAIMREV*2509031200*^00501*00000000*10*P*:~
----
-===== GS Segment (Functional Group Header) =====
-^ Element  ^ Name  ^ Req  ^ Length  ^ What to Use  |
-| GS01 | Functional ID Code | R | 2 | HC |
-| GS02 | Application Sender’s Code | R | 2–15 | Same as ISA06 |
-| GS03 | Application Receiver’s Code | R | 2–15 | CLAIMREV |
-| GS04 | Date | R | 8 | CCYYMMDD |
-| GS05 | Time | R | 4–8 | HHMM or HHMMSS |
-| GS06 | Group Control Number | R | 1–9 | Unique, matches GE02 |
-| GS07 | Responsible Agency Code | R | 2 | X |
-| GS08 | Version/Release/Industry Identifier | R | 1–12 | 005010X222A1 |
-**Example GS (Production):**
-GS*HC*SUBMITTERID*CLAIMREV*20250903*1200*1*X*005010X222A1~
-==== 837 Transaction Versions ====
-The version identifier in the GS segment (GS08) and the ST segment (ST03) determines the type of 837 claim being sent.
-^ Claim Type  ^ Common Name  ^ GS08 / ST03 Version  ^ Notes  |
-| 837P | Professional | 005010X222A1 | Used for physician, outpatient, and supplier claims. |
-| 837I | Institutional | 005010X223A2 | Used for hospital, facility, and institutional claims. |
-| 837D | Dental | 005010X224A2 | Used for dental service claims. |
-**Guidance:**
-- Choose the correct version based on the type of claim you are submitting.
-- The rest of the GS and ST segments follow the same pattern, only the version code changes.
-- ClaimRev accepts all three transaction types.
-**Example (Professional Claim):**
-GS*HC*SUBMITTERID*CLAIMREV*20250903*12001*X*005010X222A1~
-ST*837*0001*005010X222A1~
----
-===== Loop 1000A – Submitter Name =====
-This loop identifies the entity (provider or billing service) submitting the claim.
-==== NM1 – Submitter Name ====
-^ Element  ^ Name  ^ Req  ^ What to Use  |
-| NM101 | Entity Identifier Code | R | 41 (Submitter) |
-| NM102 | Entity Type Qualifier | R | 2 (Non-Person Entity) |
-| NM103 | Submitter Name | R | Submitter’s organization name |
-| NM104–NM105 | Not Used | – | Leave blank |
-| NM108 | Identification Code Qualifier | R | 46 |
-| NM109 | Identification Code | R | Submitter ID (same as ISA06/GS02) |
-**Example NM1:**
-NM1*41*2*YOUR CLINIC*****46*SUBMITTERID~
-==== PER – Submitter EDI Contact Information ====
-**This segment is REQUIRED.** Providers must include at least one valid contact method.
-^ Element  ^ Name  ^ Req  ^ What to Use  |
-| PER01 | Contact Function Code | R | IC (Information Contact) |
-| PER02 | Name | R | Contact Person’s Name |
-| PER03 | Communication Number Qualifier | R | TE (Telephone) |
-| PER04 | Communication Number | R | Phone number |
-| PER05 | Communication Number Qualifier | O | EM (Email) |
-| PER06 | Communication Number | O | Email address |
-**Example PER:**
-PER*IC*John Smith*TE*5551234567*EM*jsmith@yourclinic.com~