Get 837 Files In Healthcare

The EDI 837 Healthcare Claim concerns the submission of healthcare claim billing information, encounter information or both. This transaction is usually sent by a provider, such as a primary care physician's office, hospital, or other healthcare facility, to a healthcare insurer.

In short, 837 data is how a claim is sent electronically. An 835 is also known as an Electronic Remittance Advice (ERA). It is the electronic claim payment information and documents the electronic funds transfer (EFT). The 835 data shows how the claim is paid or denied electronically.

The X12 837 and 835 files are industry standard files used for the electronic submission of healthcare claim and payment information. The 837 files contain claim information and are sent by healthcare providers (doctors, hospitals, etc) to payors (health insurance companies).

The EDI 837 Healthcare Claim concerns the submission of healthcare claim billing information, encounter information or both. This transaction is usually sent by a provider, such as a primary care physician's office, hospital, or other healthcare facility, to a healthcare insurer.

The 837I (Institutional) is the standard format used by institutional providers to transmit health care claims electronically.

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-1500 is the standard paper claim form to bill Medicare Fee-For-Service (FFS) Contractors when a paper claim is allowed.