Struct X12Source

X12Source is used to set default values used in source loops and segments of originating transactions.

Namespace: Bishop.X12
Assembly: Bishop.X12.dll
Syntax
public struct X12Source

Fields

Alias

Short 3-4 character alias for System. Used as file prefix in file handling operations.

Declaration
[MinLength(3)]
[MaxLength(4)]
public string Alias
Field Value
Type Description
System.String

this should be an upper case string. (i.e., BHT for Bishop Healthcare Technologies)

EntityCode

Used in 277 responses. Acceptable values. Set this to "PR" if you are a Payer or are creatiing 277's on behalf of a Payer. Else "AY" if you are a Clearinghouse or a third party agent.

Declaration
public X12EntityCode EntityCode
Field Value
Type Description
X12EntityCode
  • PR - Payer
  • AY - Clearinghouse (Default)

EntityType

You as an originator is either a person or an organization. In most cases the originator type is an organization.

Declaration
public X12EntityType EntityType
Field Value
Type Description
X12EntityType
  • 1 - Person
  • 2 - Organization (Default)

ETIN

Sender Electronic Trader Identification Number (ETIN). See ISA06 and GS02. This is the identifier published by the sender for other parties to use as the sender id in transactins routed to them.

Declaration
[MaxLength(15)]
public string ETIN
Field Value
Type Description
System.String

a string of alpha numeric characters. Only use A-Z0-9. 0-9 is preferred.

IdQualifier

Sender ETIN Id Qualifier. See ISA05.

Declaration
public string IdQualifier
Field Value
Type Description
System.String
  • 01 - Dun & Bradstreet
  • 14 - Duns Plus Suffix
  • 20 - Health Industry Number
  • 27 - Carrier Identification Number as assigned by Health Care Financing Administration
  • 28 - Fiscal Intermediary Identification Number as assigned by Health Care Financing Administration
  • 29 - Provider and Supplier Identification Number as assigned by Health Care Financing Administration
  • 30 - U.S.Federal Tax Identification Number
  • 33 - National Association of Insurance Commissioners Company Code
  • ZZ - Mutually Defined (Default)

LastOrOrgName

Name of Organization or the Last Name if a person. This is the name of the person or entity responsible for the creation and formatting of this transaction. See EntityType.

Declaration
[MinLength(1)]
[MaxLength(35)]
public string LastOrOrgName
Field Value
Type Description
System.String

SupportContactName

Support EDI Contact Name identifies the person in the submitter organization who deals with data transmission issues. If data transmission problems arise, this is the person to contact in the submitter organization.

Declaration
public string SupportContactName
Field Value
Type Description
System.String

SupportEMail

Support e-mail

Declaration
public string SupportEMail
Field Value
Type Description
System.String

SupportFax

Support Fax

Declaration
public string SupportFax
Field Value
Type Description
System.String

SupportPhone

Support Phone Number identifies the phone number of the person or organization who deals with data transmission issues. If data transmission problems arise, this is the phone number the receiver of the transaction is to contact in the submitter organization.

Note

This must be a telephone number using the North American Dialing Plan. This number must always include the area code and phone number using the format AAABBBCCCC where AAA is the area code, BBB is the telephone number prefix, and CCCC is the telephone number. Therefore, the following telephone number(555) 555-1234 must be represented as 5555551234.

Warning

Do not submit long distance access numbers, such as “1”, in the telephone number. Telephone extensions, when applicable, must be submitted in SupportPhoneExt .

Declaration
public string SupportPhone
Field Value
Type Description
System.String

Format: AAABBBCCCC where AAA is the area code, BBB is the telephone number prefix, and CCCC is the telephone number.

SupportPhoneExt

Support Phone Number Extension (optional) identifies the phone number extension of the submitter SupportPhone of the organization who deals with data transmission issues. If data transmission problems arise, the SupportPhone and this exension are the contact of the person in the submitter organization.

Warning

Telephone extensions, when applicable, must include only the numeric extension. Do not include data that indicates the value is an extension, such as “ext” or “x-”.

Declaration
public string SupportPhoneExt
Field Value
Type Description
System.String

Format: XXXX where XXXX is only the numeric value of the extension.