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Back   Health Care Service: Data Reporting (005010X225)

Purpose

The Health Care Service: Data Reporting Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim (837) transaction set for the following business usages:
  • Reporting health care service data for use in health data statistical analysis from provider data
  • Reporting health care service data to satisfy governmental mandates necessary to regulate the health care industry
  • Reporting health care service data to measure utilization rates

Primary Trading Partners

Trading partners include:
  • Health care providers, such as, hospitals and physicians
  • Health care payers, such as, insurance companies, HMO's, and PPO's
  • Local, state, and federal governmental authorities or their reporting agents
  • Trade organizations, such as, hospital associations

Exceptions/Limitations

Intended as a vehicle to report health care service data to authorized authorities. It is not intended to satisfy all health care reporting needs.

References

  • Health Care Service: Data Reporting (004050X156)

Coordination

ASC X12N Workgroup:
  • ASC X12N Claim Work Group (TG2/WG2)
  • Claims Attachment Work Group (TG2/WG9)

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