Transaction Set Header

 

GS Field

Description

Value

ST01

Transaction Set Identifier Code

See the Functional Identification Code Table below to select the correct code.

Code from first column of table below

ST02

Transaction Set Control Number.

Submitters should be sending transactions using the number 0001 in this element and increment from there.  The number must be unique within a specific functional group (GS-GE) and interchange (ISA-IEA), but can repeat in other groups and interchanges.   

0001

 

Note: ST02 must be entered by the provider.

 

 

Functional Identification Code Table

 

Transaction Set Identifier Code (ST01)

Description

GS01

GS08

270

Eligibility Request

HS

004010X092A1

271

Eligibility Response

HB

004010X092A1

276

Claim Status Request

HR

004010X093A1

277

Claim Status Response

HN

004010X093A1

278

Services Review Request

HI

004010X094A1

820

Payment Order/Remittance Advice

RA

004010X061A1

834

Benefit Enrollment and Maintenance

BE

004010X095A1

835

Health Care Claim Payment Advice

HP

004010X091A1

837

Health Care Claim: Institutional

HC

004010X096A1

837

Health Care Claim: Dental

HC

004010X097A1

837

Health Care Claim: Professional

HC

004010X098A1