Apr 18, 2023 · What is an 837 file? The 837 file is actually a HIPAA form utilized by healthcare organizations and medical providers to communicate healthcare claims. Also known as EDIs, they …

Apr 29, 2025 · Learn what ANSI X12 837 files are, how they structure electronic healthcare claims, the differences between 837P, 837I, 837D, and how to process, validate, and submit claims using EDI …

Mar 14, 2025 · The EDI 837 file format follows a strict structure defined by the ASC X12 standard to ensure accurate claim processing. Each 837 file consists of segments, elements, and loops that …

The 837 file is an EDI transaction format used by healthcare providers to submit healthcare claims to payers (insurance companies, Medicare, Medicaid). It replaces traditional paper-based claims, …

This Quick Reference Guide is part of a package of training materials to help you successfully meet the requirements for HIPAA electronic 837 transactions and code sets.

Participation as an 837 claims submitter is open to all Medi-Cal providers capable of submitted claims on an acceptable medium, in the proper format and claims data meets the criteria for billing. Providers …

This refers to the coding of the 837 EDI file that was sent to them. Every EDI file is different, but this article can give you a general idea of what you're actually looking at.

Jun 17, 2025 · EDI 837 is a transaction set used for submitting healthcare claim information from providers to payers. It contains comprehensive details about patient demographics, diagnosis codes, …

What are the 837P and Form CMS-1500? The 837P (Professional) is the standard format used by health care professionals and suppliers to transmit health care claims electronically. The Form CMS …

This X12 Transaction Set contains the format and establishes the data contents of the Health Care Claim Transaction Set (837) for use within the context of an Electronic Data Interchange (EDI) …