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Health Care Predetermination: Professional 007060 X291

The Health Care Predetermination: Professional implementation guide describes the use of the X12 Health Care Claim (837) transaction set for the submission and transfer of professional 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:

    09/01/2019

  • Publication ID:

    X291

  • Resources:

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