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Back   Post Adjudicated Claims Data Reporting: Dental (005010X300)

Purpose

The Post Adjudicated Claims Data Reporting: Dental Implementation Guide describes the use of the ASC X12 Health Care Claim (837) transaction set for reporting health care dental 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

Exceptions/Limitations

Reporting by providers

References

This is the first implementation guide for this business purpose.

Coordination

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/D