Segment: GS

837p Segment: GS

01 (Functional Identifier Code)

Hard coded to 'HC'

Element: GS02 (Application Sender Code)

Element: GS02 (Application Sender Code)

Tools->Insurance Companies->Edit Insurance Company->Edit Provider->Submitter ID (Defaults to Info entered in Tools->Billing Info->Claims Options)

Element: GS03 (Application Receiver Code)

Element: GS03 (Application Receiver Code)

Tools->Insurance Companies->Edit Insurance Company->Edit Provider->Receiver ID (Defaults to info entered in Tools->Billing Info->Claims Options)

Element: GS04 (Functional Group Creation Date)

Generated at time of submission

Element: GS05

Generated at time of submission

Element: GS06 (Group Control Number)

Hard coded to '987654321'

Element: GS07 (Responsible Agency Code)

Hard coded to 'X'

Element: GS08 (Version Identifier Code)

Needs to be Hard coded to '005010X222A1'