EDI 270–5010 Documentation - ISA – Interchange Control Header

 

            

ISA – Interchange Control Header  

The ISA is a fixed record length segment and all positions within each of the data elements must be filled. The first element separator defines the  element separator to be used through the entire interchange. The segment terminator used after the ISA defines the segment terminator to be used throughout the entire interchange.This results in the segment terminator always being in position 106.

PMS Product Reference

	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
Header	ISA	Interchange Control Header		3		R	ISA
		Element Separator	AN	1			*
	ISA01	Authorization information qualifier	ID	2/2	101	R	00 or 03 See below for more information
		Element Separator	AN	1			*
	ISA02	Authorization information	AN	10/10	102	R	Will contain User ID if ISA01 is 03. Will Contain 10 Empty spaces if ISA01 is 00
		Element Separator	AN	1			*
	ISA03	Security information qualifier	ID	2/2	103	R	Will Contain 01 if ISA01 is 03. Will Contain 00 if ISA01 Is 00.
		Element Separator	AN	1			*
	ISA04	Security information	AN	10/10	104	R	Will contain Password if ISA01 is 03. Will Contain 10 Empty spaces if ISA01 is 00
		Element Separator	AN	1			*
	ISA05	Interchange ID Qualifier	ID	2/2	105	R	ZZ
		Element Separator	AN	1			*
	ISA06	Interchange Sender ID	AN	2/15	106	R	See below for more information
		Element Separator	AN	1			*
	ISA07	Interchange ID Qualifier	ID	2/2	105	R	01
		Element Separator	AN	1			*
	ISA08	Interchange Receiver ID	AN	15/15	107	R	See below for more information
		Element Separator	AN	1			*
	ISA10	Interchange Time	TM	4/4	109	R	Current Time in HHMM Format
		Element Separator	AN	1			*
	ISA11	Repetition Separator	ID	1/1	110	R	^
		Element Separator	AN	1			*
	ISA12	Interchange Control Version Number	ID	5/5	111	R	00501
		Element Separator	AN	1			*
	ISA13	Interchange Control Number	NO	9/9	112	R	000000001 (See below for more info)
		Element Separator	AN	1			*
	ISA14	Acknowledgement required
		Element Separator	AN	1			*
	ISA15	Usage indicator	ID	1/1	114	R	P or T (See below for more details)
		Element Separator	AN	1			*
	ISA16	Component Element Separator		1/1	115	R	: (semi colon). this value must be different than the data element separator and the segment terminator
		Element Separator	AN	1			*

Sample:  

ISA*00*          *00*          *ZZ*8431           *ZZ*ZIRMED         *130215*1234*^*00501*000000001*1*P*:~

Important Note on the above sample:
ISA02
Since ISA is fixed length segment, even though if no values are present, we need to fill up empty spaces. Here ISA02 is filled with 10 empty spaces.

ISA04
Since ISA is fixed length segment, even though if no values are present, we need to fill up empty spaces. Here ISA04 is filled with 10 empty spaces.

ISA06
Since ISA is fixed length segment, if the value is not 15 characters length, then we need to append empty space to make 15 characters string.

ISA08
Since ISA is fixed length segment, if the value is not 15 characters length, then we need to append empty space to make 15 characters string.

Segment Structure  

Sample 2
ISA*03*id27032743*01*XYXY2233  *ZZ*XX09211223     *01*030240928      *130829*1102*^*00501*290811021*0*T*:~

User Name and Password
In some clearing house, they might ask to send the user name and password along with each EDI file. That's what Authorization information Information refer ISA01, ISA02,ISA03 and ISA04.  After you sign up with the clearing house, ask your user name and password to send along the EDI File if they need.  In such case, ISA01 will have the value"03" , ISA02 will have the user id, ISA03 will have the value "01" and ISA04 will have the actual password. Very important, since ISA is fixed length segment, and ISA02 is 10 character, so if your user id is less than 10 characters, then you need to append empty spaces to make it as 10 character word.
 
Sample with the User id and Password.

 

Segment Structure  

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ISA01 - Authorization Information Qualifier
Code to identify the type of information in the Authorization Information

Code	Definition
00	No Authorization information Present(No Meaningful information in 102). Advised unless security requirements Mandate use of Additional identification information.
03	Additional Data Identification.

 

ISA03 - Security Information Qualifier
Code to identify the type of information in the Security information qualifier

Code	Definition
00	No Security information Present(No Meaningful information in 104). Advised unless security requirements Mandate use of password data.
01	Password

 

ISA05, ISA07- Interchange ID Qualifier
Code to identify the type of information in the Security information qualifier

Code	Definition
01	Duns(Dun & BradStreet)
14	Duns Plus Suffix
20	Health Industry Number (HIN)
27	Carrier Identification Number
28	Fiscal Intermediary Identification Number.
29	Medicare Provider and Supplier Identification Number
30	U.S Federal Tax Identification Number
33	National Association Of Insurance Commissioners Company Code (NAIC)
ZZ	Mutually Defined

ISA06 – Interchange Sender ID
During the sign up process with clearing house, they will assign a unique ID to the software vendor. So in the practice information setup, software should have a option to enter this value. This is mandatory for all the EDI Files, without this ID, clearing house will not be able to process the file.

ISA08 – Interchange Receiver ID
During the sign up process with clearing house, they will provide this value. Usually, this will be clearing house name. So in the practice information setup, software should have a option to enter this value. This is mandatory for all the EDI Files, without this ID, clearing house will not be able to process the file.

ISA13 – Interchange Control Number
Control Number assigned by the Sender for tracking purpose. This number must be identical to the Interchange Trailer IEA02. Ever time
when creating the EDI File, software can generate a unique number to identify the batch for later case to track. 

ISA14 - Acknowledgment Requested.

Code	Definition
0	No Acknowledgment Requested
1	Interchange Acknowledgement Requested

Default to 0. In some cases, if the software vendor integrated to clearing house via web services. then we can ask the clearing house to send the acknowledgment for each EDI File batches.

ISA15 – Usage Indicator.

Code	Definition
P	Production Data
T	Test Data

After the  sign up process with clearing house, they will ask the software vendor to send sample files with different use cases. In such cases, all the files should be send as Test Data. So in the practice information setup, software should have this option to select. Once test files are approved, then software admin can change this value to Production.

 

            

Questions or feedback are always welcome.