Change Healthcare (Optum) · Health Care Claim — Professional

Implementation notes for feeding the 837P transaction to Change Healthcare (Optum).

Envelope defaults

{
  "isaSenderQualifier": "ZZ",
  "isaReceiverQualifier": "ZZ",
  "receiverId": "CHPWY",
  "versionId": "005010X222A1",
  "gsCode": "HC",
  "usageIndicator": "P"
}

Required fields

REF/REF02 — Submitter EDI ID (REF*EI in 1000A)
NM1/NM109 — Billing provider NPI (2010AA)

Fixed values

None.

Endpoint: Change Healthcare Medical Network — SFTP or MFT