Availity · Health Care Claim Payment / Advice

Implementation notes for feeding the 835 transaction to Availity.

Envelope defaults

{
  "isaSenderQualifier": "ZZ",
  "isaReceiverQualifier": "ZZ",
  "senderId": "030240928",
  "versionId": "005010X221A1",
  "gsCode": "HP",
  "usageIndicator": "P"
}

Required fields

BPR/BPR16 — Payer EFT effective date
TRN/TRN02 — Reassociation trace number matching 837 CLM01

Fixed values

None.

Payer-issued; Availity delivers 835 back to submitter mailbox.