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What is an 837 file?

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An 837 is a certain kind of electronic claims file that HIPAA requires people who send electronic claims to use. There are some older forms of the 837 file, but HIPAA requires that health plans and EDI submitters use the latest version, called X12N 837 version 4010. There are very specific rules about what kind of information can go in an 837 and exactly where that information should be put. Doctors who bill using the paper HCFA-1500 form would use an 837P (the P is for professional) format; hospitals and facilities that use the paper UB-92 form would use an 837I (the I is for Institutional). (Back) How can providers tell if CBH accepted the claims they submitted? Providers will receive X12 EDI acknowledgement transactions, TA1, 997 and 835 to address the acceptance, adjudication and outcome of all submitted claims. Additionally CBH may continue some of the existing reports that providers are currently accustomed to receiving. (Back) Can I still get Payment Detail, Rejection, and ...
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An 837 is a certain kind of electronic claims file that HIPAA requires for use by providers who submit claims electronically . There are some older forms of the 837 file, but HIPAA requires that health plans and EDI submitters use the latest version, called “X12N 837 version 4010.” There are very specific rules about what kind of information can go in an 837 and exactly where that information should be put. Doctors who bill using the paper HCFA-1500 form would use Professional format; hospitals and facilities that use the paper UB-92 form would use an 837I (the I is for Institutional). Most doctors can’t produce 837 files directly, so if they want to send electronic claims, they must use a clearinghouse or billing agency that can produce the 837 files for them. more
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