837 EDI structure

837 EDI Professional Claim (Anthem) Structure Descriptions 837 EDI Professional Claim Structure guidelines given below refer to the 837 EDI Professional Claim used in electronic data interchange by Anthem and its business partners taking part in the process of claims exchange. To avoid mistakes during 837 EDI Professional Claim preparation and electronic submission partners should carefully study technical Read More →


837 Coordination of Benefits Requirements For Anthem Partners 837 Coordination of Benefits procedure described in the blog refer to the 837 Health Care Claim transaction requirements. The 837 Coordination of Benefits data elements work together to coordinate benefits between the East Region and Medicare or other carriers.  The East Region recognizes submission of an 837 transaction to Read More →

837 Professional Health Care Claim

837 Professional Health Care Claim Basic Technical Instructions For Anthem Partners 837 Professional Health Care Claim section provides information to help Anthem partners prepare for the ANSI ASC X12N 837 Professional Health Care Claim transaction. The information given in the blog must be used in conjunction with both the Transaction Set Implementation Guide “Health Care Claim: Professional, Read More →

Healthcare EDI Transactions

Healthcare EDI Transactions Real World Difference HIPAA The Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in 1996 as President Clinton responded to the need for more efficient healthcare services at lower costs. The solution was signing into law the Kennedy-Kassebaum Act. This act is also known as Health Insurance Read More →