Back   Post Adjudicated Claims Data Reporting: Professional (005010X298)


The Post Adjudicated Claims Data Reporting: Professional Implementation Guide describes the use of the ASC X12 Health Care Claim (837) transaction set for reporting health care professional service post adjudicated data:
  • to satisfy state and federal reporting requirements such as; Medicare and Medicaid encounters, All Payer Claims Databases, and Health Care Insurance Exchanges
  • for use in health data analysis from payer data

Primary Trading Partners

Trading partners may include but are not limited to:
  • Payer
  • State agency or designee
  • Federal agency or designee
  • Insurance Exchanges


Reporting by providers


This is the first implementation guide for this business purpose.


ANSI ASC X12N TG2/WG2 (Health Care Claims)

Additional Information

Registered 10/6/2011 Published 8/1/2012
Transaction Set ID 837 Standard Version 005010
ASC X12 DM# Owning Group X12N/PACDR/P