File Transfer Procedures (UHA EDI Trading Partners): File Naming Convention
File Transfer Procedures including File Naming Convention requirements for clearing houses submitting claims for multiple providers and for providers submitting claims directly are described in the blog below.
Clearing Houses submitting claims for multiple providers
Inbound (to UHA) 837 and Outbound (from UHA) 997
Format: Taaaaa_Sbbbbb_####_mmdd_NN.dat
- Taaaaa = UHA assigned Transmitter identification number (ISA06)
- Sbbbbb = UHA assigned Submitter identification number (GS02)
- #### = HIPAA EDI TCS format number
- 837P = Professional HCFA1500 Claims
- 837I = Institutional UB92 Claims
- 997 = Functional Acknowledgement
- mmdd = month and day the file was created. mm = 01 – 12; dd = 01 – 31
- NN = sequence number of the file, 01 – 99
Outbound (from UHA) 835:
Format: Taaaaa_Sbbbbb_###_mmdd.dat
- Taaaaa = UHA assigned Transmitter identification number (ISA06)
- Sbbbbb = UHA assigned Submitter identification number (GS02)
- ### = HIPAA EDI TCS format number
- 835 = Electronic Remittance Advice
- mmdd = month and day the file was created. mm = 01 – 12; dd = 01 – 31
For Providers submitting claims directly
Transmitter ID number and Submitter ID number can be the same.
Inbound (to UHA) 837 and Outbound (from UHA) 997
Format: aaaaa_####_mmdd.dat
- aaaaa = UHA assigned Transmitter identification number (ISA06)
- aaaaa = UHA assigned Submitter identification number (GS02)
- #### = HIPAA EDI TCS format number
- 837P = Professional HCFA1500 Claims
- 837I = Institutional UB92 Claims
- 997 = Functional Acknowledgement
- mmdd = month and day the file was created. mm = 01 – 12; dd = 01 – 31
Outbound (from UHA) 835
Format: aaaaa_###_mmdd.dat
- aaaaa = UHA assigned Transmitter identification number (ISA06)
- aaaaa = UHA assigned Submitter identification number (GS02)
- ### = HIPAA EDI TCS format number
- 835 = Electronic Remittance Advice
- mmdd = month and day the file was created. mm = 01 – 12; dd = 01 – 31.
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