Get 837 I

HIPAA 837I Health Insurance Portability and Accountability Act Industry- wide standards for health care electronic billing, data privacy and. security provisions for medical information.

An 837 file is an electronic file that contains patient claim information. This file is submitted to an insurance company or to a clearinghouse instead of printing and mailing a paper claim. • The data in an 837 file is called a Transaction Set.

In professional billing, the 837-P, which is the electronic equivalent of the CMS 1500 form, is employed. Professional configuration is denoted by the letter “P.” For institutional billing, the UB-04 form is utilized. The 837-I is used in institutional billing for electronic claims.

Professional charges are billed on a CMS-1500 form. The electronic version of the CMS-1500 is called the 837-P, the P standing for the professional format. 837 Institutional. Institutional billing is responsible for the billing of claims generated for work performed by hospitals and skilled nursing facilities.

Providers who bill on UB-04 or 837I claims must include an Attending Provider Name, including secondary identifiers, when submitting claims in MIHMS. Form Locator 76 is a required field and will be used to validate that your attending provider is enrolled with MaineCare.

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. The Form CMS-1450, also known as the UB-04, is the standard claim form to bill Medicare Administrative Contractors (MACs) when a paper claim is allowed.

The 837P (Professional) is the standard format used by health care professionals and suppliers to transmit health care claims electronically.