837 professional claim

837 Professional Claim scenario and raw data 837 Professional Claim example mentioned in this post shows a standard 837 Professional claim file. It includes data from the provider of Service indicating the member’s demographic information, diagnosis, services rendered and charges. 837 Professional Claim data will be used by the Insurance Company to determine what benefits Read More →

837 EDI

Health Care Claim: general definition, purposes and benefits coordination Health Care Claim 837 transaction is the EDI function that submits health care claim form to the Insurance Company of the patient whom has received care from a Provider of Service. The Health Care Claim form contains specific data related to the Patient, Provider of Service, Insurance Read More →