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Health Care Predetermination: Institutional

The Health Care Predetermination Institutional implementation guide describes the use of the X12 Health Care Claim (837) transaction set for the submission and transfer of institutional predeterminations to health care payers and clearinghouses.

Intended trading partners include: health care providers, such as, physicians, hospitals, and suppliers; health care payers, such as, private health care insurers and HMO's, clearinghouses, repricers, VANs


  • Type:

    TR3

  • Industries:

    Health Care & Insurance

  • Intended Trading Partners:

    Intended trading partners include: health care providers, such as, physicians, hospitals, and suppliers; health care payers, such as, private health care insurers and HMO's, clearinghouses, repricers, VANs

  • Set ID:

    837

  • Version:

    007060

  • Maintained By:

    X12N

  • Publication Date:

    02/01/2010

  • Publication ID:

    X292

  • Resources:

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