Registry



Back   Property and Casualty Medical Bill Report to Regulatory Agencies (004010X067)

Purpose

The Property and Casualty Medical Bill Report to Regulatory Agencies Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim (837) transaction set for the following business usages:
  • Transmit health care claims and billing information from payers, such as insurers and employers, to regulatory agencies to monitor the rendering, billing, and/or payment of health care services related to property and Casualty medical losses.
  • Collect data about property and casualty billings for regulatory agencies to perform statistical analysis

Primary Trading Partners

Property and Casualty payers. Regulatory agencies.

Exceptions/Limitations

Does not support the filing of health care claims with regulatory agencies.

References

This is the first implementation guide for this business purpose.

Coordination

ANSI ASC X12N TG2/WG2 (Health Care Claims/Encounters) developers for the dental, institutional, and professional implementation guides and TG1/WG3 (Workers' Compensation and Disability.)

Additional Information

Registered 9/20/1996 Published 5/5/1999
Transaction Set ID 837 Standard Version 004010
ASC X12 DM# Owning Group X12N/TG1/WG2