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Get Oklahoma Medicaid Provider Manual

GS01 GS02 Functional Identifier Code GS Application Sender s Code GS GS03 Application Receiver s Code Date Time Group Control Number GS Responsible Agency Code GS Version/Release/Industry GS Identifier Code ISA15 ISA16 Acknowledgment Requested Usage Indicator Component Element Separator Functional Group Header GS04 GS05 GS06 GS07 GS08 HC for Health Care Claim 837 HC Unique number within interchange. Will begin with 0001 and will increment by 1 .

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