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.
What is the EDI 835 used for?
The EDI 835 is used primarily by Healthcare insurance plans to make payments to healthcare providers, to provide Explanations of Benefits (EOBs), or both.
What is the difference between CMS 835 and 837?
In other words, an 837 is a bill and an 835 is a receipt. Sometimes 835 claims are also called Electronic Remittance Advice (ERA). Similar to 837s, they provide information about the rendered healthcare services.
What does 835 mean in healthcare?
The 835 Health Care Payment / Advice, also known as the Electronic Remittance Advice (ERA), provides information for the payee regarding claims in their final status, including information about the payee, the payer, the payment amount, and any payment identifying information.
What is the difference between an 835 and 837?
In short, 837 data is how a claim is sent electronically. An 835 is also known as an Electronic Remittance Advice (ERA). It is the electronic claim payment information and documents the electronic funds transfer (EFT). The 835 data shows how the claim is paid or denied electronically.
Related Searches
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An EDI 837 file is a standardized electronic format used for submitting healthcare claims to insurance providers and government agencies. It ensures accurate and efficient transmission of patient care, procedures, and cost details for processing and reimbursement.
What is the EDI 837 used for?
The EDI 837 Healthcare Claim transaction set is used to submit healthcare medical claims, encounter information, billing information or both, from healthcare services providers to payers.
Related links
Pub 100-04 Medicare Claims Processing
Nov 3, 2014 Contractors shall return as unprocessable any inbound CMS-1500 claim form, or ANSI X12 837 professional electronic claim transaction with an NPI
From Code to Claim: Understanding CMS-1500 837P Forms in
The 837P is the electronic version of the CMS-1500. Its the standard format for transmitting healthcare claims from professional providers to payers like
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