← Palmetto GBA (MAC J-J/J-M)
Palmetto GBA (MAC J-J/J-M) · Health Care Claim — Professional
Implementation notes for feeding the 837P transaction to Palmetto GBA (MAC J-J/J-M).
Envelope defaults
{
"isaSenderQualifier": "ZZ",
"isaReceiverQualifier": "ZZ",
"receiverId": "11202",
"versionId": "005010X222A1",
"gsCode": "HC",
"usageIndicator": "P"
}Required fields
- REF/REF02 — PTAN (REF*G2) at 2010AA
- NM1/NM109 — Billing provider NPI (2010AA)
Fixed values
- GS08 = 005010X222A1 — Palmetto GBA requires A1 addenda for professional
Endpoint: Palmetto GBA EDI Gateway — SFTP
JJ (AL/GA/TN) and JM (NC/SC/VA/WV). Confirm state-specific payer ID from Palmetto companion guide.