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EmblemHealth (GHI/HIP) · Health Care Claim — Professional

Implementation notes for feeding the 837P transaction to EmblemHealth (GHI/HIP).

Envelope defaults

{
  "isaSenderQualifier": "ZZ",
  "isaReceiverQualifier": "ZZ",
  "receiverId": "13551",
  "versionId": "005010X222A1",
  "gsCode": "HC",
  "usageIndicator": "P"
}

Required fields

  • NM1/NM109 — Payer ID 13551 (GHI) / 55247 (HIP) at 2010BB NM108='PI'

Fixed values

None.