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Back   Health Care Claim: Institutional (005010X223)

Purpose

The Health Care Claim: Institutional Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim (837) transaction set for the following business usage:
  • Submit and transfer institutional claims and encounters from health care providers to health care payers and between payers

Primary Trading Partners

Trading partners include:
  • Health care providers, such as physicians, hospitals, and suppliers
  • Health care and property/casualty payers, such as private health care insurers and HMOs
  • Clearinghouses, repricers, VANS, etc.

References

  • Health Care Claim: Institutional (003070X064)
  • Health Care Claim: Institutional (004010X096)
  • Health Care Claim: Institutional (004050X141)
  • Health Care Claim: Institutional (004060X192)

Coordination

ASC X12N Workgroup:
  • ANSI ASC X12N TG2/WG2 (Health Care Claims) developers for the dental, institutional, and workers’ compensation medical bill implementation guides.
  • ANSI ASC X12N TG2/WG3 (Health Care Claim Payment)
  • ANSI ASC X12N TG2/WG4 (Health Care Enrollments)

Additional Information

Registered 10/2/2003 Published 5/5/2006
Transaction Set ID 837 Standard Version 005010
ASC X12 DM# Owning Group X12N/TG2/WG2