C.4 ISA01 Authorization (zero zero) No ‘00’ ‘00’ – Information Qualifier Authorization Information Present (no meaningful information in ISA02) C.4 ISA02 Authorization Blank (fill with 10 spaces) Information C.4 ISA03 Security Information No Authorization ‘00’ ‘00’ – Qualifier Information Present (no meaningful information in ISA04) C.4 ISA04 Security Information Blank (fill with 10 spaces) C.4 ISA05 Interchange ID ZZ (Mutually Defined) ‘ZZ’ Qualifier C.4 ISA06 Interchange Sender ID Electronic Transmitter Identification Number (ETIN) C.5 ISA07 Interchange ID ZZ (Mutually Defined) ‘ZZ’ Qualifier C.5 ISA08 Interchange Receiver PHC100680301406 PHC100680301406 ID C.5 ISA09 Interchange Date Interchange Creation Date in YYMMDD format C.5 ISA10 Interchange Time Interchange Creation Time in HHMM format C.5 ISA11 Interchange > PHC will utilize the symbol: (colon) Repetition Separator as the repetition separator. C.5 ISA12 Interchange Control Indicates version number ‘00501’ Version Number C.5 ISA13 Interchange Control A control number assigned by the Number interchange sender C.6 ISA14 Acknowledgement 0 No Interchange Acknowledgment ‘0’,‘1’ Requested Requested 1 - Interchange Acknowledgment Requested C.6 ISA15 Usage Indicator P - Production data ‘P’ C.6 ISA16 Component Element A ! must be sent in this field. ‘!’ Separator C.10 IEA Interchange Control Trailer C.10 IEA01 Number of Included Count of the number of functional Functional Groups groups included in an interchange. C.10 IEA02 Interchange Control Control number assigned by the Number interchange sender that should be nine characters and be identical to the value in ISA13. Outbound values:
C.4 ISA01 Authorization Information Qualifier ‘00’ ‘00’ (zero zero) – No Authorization Information Present (no meaningful information in ISA02) C.4 ISA02 Authorization Information Blank (fill with 10 spaces) C.4 ISA03 Security Information Qualifier ‘00’ ‘00’ – No Authorization Information Present (no meaningful information in ISA04) C.4 ISA04 Security Information Blank (fill with 10 spaces) C.4 ISA05 Interchange ID Qualifier ‘ZZ’ ZZ (Mutually Defined) C.4 ISA06 Interchange Sender ID Electronic Transmitter Identification Number (ETIN) C.5 ISA07 Interchange ID Qualifier ‘ZZ’ ZZ (Mutually Defined) C.5 ISA08 Interchange Receiver ID PHC100680301406 PHC100680301406 C.5 ISA09 Interchange Date Interchange Creation Date in YYMMDD format C.5 ISA10 Interchange Time Interchange Creation Time in HHMM format C.5 ISA11 Interchange Repetition Separator > PHC will utilize the symbol: (colon) as the repetition separator. C.5 ISA12 Interchange Control Version Number ‘00501’ Indicates version number C.5 ISA13 Interchange Control Number A control number assigned by the interchange sender C.6 ISA14 Acknowledgement Requested ‘0’,‘1’ 0 No Interchange Acknowledgment Requested 1 - Interchange Acknowledgment Requested C.6 ISA15 Usage Indicator ‘P’ P - Production data C.6 ISA16 Component Element Separator ‘!’ A ! must be sent in this field. C.10 IEA Interchange Control Trailer C.10 IEA01 Number of Included Functional Groups Count of the number of functional groups included in an interchange. C.10 IEA02 Interchange Control Number Control number assigned by the interchange sender that should be nine characters and be identical to the value in ISA13. Outbound values:
PHC_EDI_CORE_276_277_CG.docx