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Health Care Claim: Institutional 005010 X223

The Health Care Claim: Institutional implementation guide describes the use of the X12 Health Care Claim (837) transaction set for the submission and transfer of institutional claims and encounters from health care providers to health care payers or between payers with different payment responsibilities where coordination of benefits is required or between payers and regulatory agencies.

Intended trading partners include: health care providers, such as physicians, hospitals, pharmacies, other medical facilities, and suppliers; health care and property/casualty payers, such as private health care insurers and HMOs; clearinghouses, repricers, and VANS.


  • Type:

    TR3

  • Industries:

    Health Care & Insurance

  • Intended Trading Partners:

    Intended trading partners include: health care providers, such as physicians, hospitals, pharmacies, other medical facilities, and suppliers; health care and property/casualty payers, such as private health care insurers and HMOs; clearinghouses, repricers, and VANS.

  • Set ID:

    837

  • Version:

    005010

  • Maintained By:

    X12N

  • Publication Date:

    06/01/2014

  • Publication ID:

    X223

  • Resources:

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