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Back   Post-adjudicated Claims Data Reporting: Professional (006020X336)

Purpose

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

References

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

Coordination

Health Care Claims

Additional Information

Registered 9/8/2015
Transaction Set ID 837 Standard Version 006020
ASC X12 DM# 016116 Owning Group X12N/TGB