Vendor

Novitas Solutions (MAC J-H/J-L)

Payers. MAC for JH (AR/CO/LA/MS/NM/OK/TX) and JL (DE/DC/MD/NJ/PA). Payer ID 12M52.

https://www.novitas-solutions.com

Supported transactions

Per-transaction requirements

Transaction 837I
Details →
ISA05/07 = ZZ/ZZ · GS01 = HC · GS08 = 005010X223A2
1 required · 1 fixed value