https://www.officeally.com/slogin.aspx?utc=-5
This section describes OA use of the interchange (ISA) and functional group (GS) control segments. Note that submissions to Office Ally are limited to one interchange (ISA) and one functional group (GS) per file. Files may contain up to 5000 transaction sets (ST).
HIPAA TRANSACTION 837 INSTITUTIONAL STANDARD COMPANION GUIDE
| X12 Data Element | Description | Values Used | Comments |
| ISA01 | Authorization Qualifier | NA | NA |
| ISA02 | Authorization Code | NA | NA |
| ISA03 | Security Qualifier | NA | NA |
| ISA04 | Security Information | NA | NA |
| ISA05 | Sender Qualifier | 30 | 30 |
| ISA06 | Sender Id | Trading Partner’s Sender Id | Tax Id is preferred |
| ISA07 | Receiver Qualifier | 30 | 30 |
| ISA08 | Receiver Id | 330897513 | Office Ally Tax Id |
| ISA09 | Interchange Date | YYMMDD | |
| ISA10 | Interchange Time | HHMM (EST/EDT) | |
| ISA11 (4010) |
Interchange Control Standards ID | “U” | |
| ISA11 (5010) |
Repetition Separator | “^” or your repetition separator | |
| ISA12 | Interchange Control Version Number | 00401 for 4010, 00501 for 5010 | |
| ISA15 | Usage Indicator | T P |
Test File Production File |
| GS01 | Functional Id Code | Indicates transaction type | See HIPAA IG |
| GS02 | Sender’s Code | Trading Partner’s Sender Code | No Suggestions |
| GS03 | Receiver’s Code | OA | OA Business Units identified for translator routing purposes. |
| GS08 | Version Release Industry ID Code | Identifies the transaction in ASC Terms | See HIPAA IG |