Get Horizon Bcbsnj Edi Companion Document

This guide provides comprehensive instructions for users looking to fill out the Horizon BCBSNJ EDI Companion Document online. It aims to support a clear understanding of each section and field of the form to ensure accurate submissions of EDI transactions.

Follow the steps to successfully complete your EDI Companion Document

1. Press the ‘Get Form’ button to retrieve the EDI Companion Document and open it in your preferred editor.
2. Begin by filling out your organization’s details in the header section, ensuring that all required fields are accurately completed.
3. Next, proceed to the Interchange Control Header (ISA segment). Populate the necessary fields including Interchange ID, Date, and Time, in accordance with the specified formats.
4. Continue to the functional group header (GS segment). Here, enter the Functional ID Code and the Application Sender and Receiver Codes, ensuring that these align with your specific identifiers.
5. Move on to the Transaction Set Header (ST segment). Complete the Transaction Set ID and any other relevant data required.
6. Fill in the critical data segments as outlined in the document. Ensure that the data is formatted correctly, paying close attention to mandatory and optional fields.
7. Wrap up the transaction set by completing the Transaction Set Trailer (SE segment) and follow it up with the Functional Group Trailer (GE segment). Make sure the count of transaction sets matches the previous entries.
8. Finally, complete the Interchange Control Trailer (IEA segment) and verify that the numbers match with what you entered in the ISA segment.
9. Once all sections are filled out and checked for accuracy, save your changes. You can then download, print, or share the form as necessary.

Start filling out your Horizon BCBSNJ EDI Companion Document online now!