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837 Professional Claim Last Revision: 7/10/2002 Beginning of Hierarchical Transaction BHT Beginning of Hierarchical Transaction BHT01 HierarchicalStructureCode R “0019" BHT02 TransactionSetPurposeCode
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X12 user guide 837 is a guide for electronic data interchange (EDI) transactions in the healthcare industry. It provides instructions for the format and structure of the X12 837 transaction set, which is used to submit healthcare claims electronically.
Healthcare providers, such as hospitals, clinics, and medical practitioners, are required to file the X12 user guide 837 when submitting electronic claims to insurance payers.
Filling out the X12 user guide 837 involves inputting the necessary information and data elements required for a healthcare claim. These include patient demographics, diagnosis codes, procedure codes, and billing information. The guide provides detailed instructions on how to properly format and populate each data element.
The purpose of the X12 user guide 837 is to standardize the electronic submission of healthcare claims. It ensures that claims are submitted in a consistent format, reducing errors and allowing for efficient processing and payment by insurance payers.
The X12 user guide 837 requires the reporting of various information, including patient demographics (such as name, address, and insurance information), diagnosis codes, procedure codes, billing amounts, and other relevant details necessary for claim processing.
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