Registry



Back   Health Care Claim: Institutional (004010X096)

Purpose

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

Primary Trading Partners

Health care providers, such as clinics and hospitals. Health care payers, such as private insurers and federally-supported health care payers.

Exceptions/Limitations

Does not explicitly support property & casualty medical bill claims.

References

  • Health Care Claim: Institutional (003070X064)

Coordination

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

Additional Information

Registered 8/14/1997 Published 5/5/2000
Transaction Set ID 837 Standard Version 004010
ASC X12 DM# Owning Group X12N/TG2/WG2