Health Care Claim 837 (Gold Coast Health Plan) Guideline
Health Care Claim 837 notes and guidelines promote efficient, accurate Gold Coast Health Plan electronic transaction processing.
- 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 Gold Coast Health Plan Receiver ID/Payer ID is 77160.
Many of the data elements included in the Health Care Claim 837 transaction are business requirements and are not necessarily required per the ASC standard. Inclusion of a ‘BusinessRequired’ 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 Gold Coast Health Plan claim files. Xerox EDI Direct will not be able to answer billing questions or provide an explanation of claim denials.
Health Care Claim 837 Specification Notes
- ISA 05 Interchange ID Qualifier: ZZ
- ISA 06 Interchange Sender ID: 6-digit trading partner ID Note: 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 Note: Please make sure the Receiver ID is left justified with trailing spaces for a total of 15 characters. Do not use leading ZEROS.
- GS 08 Version/Release/Industry Identifier Code: 837P=005010X223A1, 837I=005010X223A2.
- NM1 09 Subscriber Primary Identifier GCHP Client Index Number or Card ID is 9 bytes. The format is 8 numerics + 1 alpha.
- NM1 09 Subscriber Primary Identifier GCHP Client Index Number or Card ID is 9 bytes. The format is 8 numerics + 1 alpha.