Post-adjudicated Claims Data Reporting: Institutional (007030X337)

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

References

Post Adjudicated Claims Data Reporting: Institutional (005010X299)

Coordination

Health Care Claims

Additional Information