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Back   Health Care Claim: Professional (003070X066)

Purpose

The Health Care Claim: Professional Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim (837) transaction set for the following business usage:
  • Submit and transfer professional claims and encounters from health care providers to health care payers and between payers

Primary Trading Partners

Health care providers, such as physicians and surgeons. Health care payers, such as private health care insurers and HMOs.

References

This is the first implementation guide for this business purpose.

Coordination

ANSI ASC X12N TG2/WG2 (Health Care Claims) developers for the dental, institutional, and workers’ compensation medical bill implementation guides. ANSI ASC X12N TG2/WG4 (Health Care Claim Payment); TG2/WG3 (Health Care Enrollments); and TG1/WG3 (Workers’ Compensation and Disability).

Additional Information

Registered 9/20/1996 Published 6/3/1997
Transaction Set ID 837 Standard Version 003070
ASC X12 DM# Owning Group X12N/TG2/WG2