EDI 837 Common Ground Healthcare Cooperative Highlights
EDI 837 Common Ground Healthcare Cooperative transaction requires efficient and accurate electronic transaction processing. To promote this EDI partners should note:
- Each user is assigned a 6-digit EDI Direct Trading Partner ID.
- Logon User Name is 8 characters.
- Logon User ID (password) is 9 characters.
- All dates are in the CCYYMMDD format.
- All date/times are in the CCYYMMDDHHMM format.
- The Common Ground Healthcare Cooperative Receiver ID/Payer ID is77170.
Many of the data elements included in the EDI 837 Common Ground Healthcare Cooperative transaction are business requirements and are not necessarily required per the ASC standard. Inclusion of a ‘Business-Required’ data field may aid in the delivery of a positive response. Xerox EDI Direct is the Clearinghouse that will manage the receipt and delivery of the Common Ground Healthcare Cooperative claim files.
EDI 837 Transaction Highlights
Header-ISA/GS
Interchange Control Header (ISA)
ISA 06 – Interchange Sender ID: 6-digit trading partner ID
Please make sure the submitter ID or Trading Partner ID is left justified with trailing spaces for a total of 15 characters. Do not use leading ZEROS.
ISA 08 – Interchange Receiver ID: 100000
Please make sure the Receiver ID is left justified with trailing spaces for a total of 15 characters. Do not use leading ZEROS.
ISA 15 – Interchange Usage Indicator: Test = T, Prod = P
Functional Group Header (GS)
GS 02 – Application Sender’s Code: 6-digit trading partner ID
GS 03 – Application Receiver’s Code: 77170
GS 08 – Version/Release/Industry Identifier Code
837P=005010X223A1
837I=005010X223A2
Healthcare Claim: 837 – Professional
Submitter Name (Loop 1000A)
NM1 02 – Entity Type Qualifier: 2
NM1 09 – Submitter Identifier: 6-digit trading partner ID
Receiver Name (Loop 1000B)
NM1 03 – Receiver Name: Common Ground
NM1 09 – Receiver Primary Identifier: 77170
2010BA Subscriber Loop
NM1 09 – Subscriber Primary Identifier
Common Ground Healthcare Cooperative Client Index Number or Card ID is 13 bytes. Ten digits + 3 digit person code. Three digit person code is not required for electronic claims submission.
Healthcare Claim: 837 – Institutional
Submitter Name (Loop 1000A)
NM1 02 – Entity Type Qualifier: 2
NM1 09 – Submitter Identifier: 6-digit trading partner ID
Receiver Name (Loop 1000B)
NM1 03 – Receiver Name: Common Ground
NM1 09 – Receiver Primary Identifier: 77170
2010BA Subscriber Loop
NM1 09 – Subscriber Primary Identifier
Common Ground Healthcare Cooperative Client Index Number or Card ID is 13 bytes. Ten digits + 3 digit person code. Three digit person code is not required for electronic claims submission.