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The information in the EDI 837 file typically includes: A description of the patient. The patient's condition related to the provided treatment. The services provided....EDI 837 File Segments PRV = Provider. SBR = Subscriber. HL = Hierarchy. NM1 = Name. N3 = Street Address. N4 = City, State, and ZIP. DTP = Date. DMG = Demographic.
The 837i is the electronic version of the paper form UB-04. 837i files are used to transmit institutional claims. Institutional claims are those submitted by hospitals and skilled nursing facilities. The 837p is the electronic version of the CMS-1500 form. 837p files are used to transmit professional claims.
57 Other Provider Identifier\u2013Billing Provider Not Required The unique provider identifier assigned by the health plan is reported in this field.
The 837 or EDI file is a HIPAA form used by healthcare suppliers and professionals to transmit healthcare claims.
The CMS-1450 form (aka UB-04 at present) can be used by an institutional provider to bill a Medicare fiscal intermediary (FI) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of claims.

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You may be wondering, \u201cWhat does UB-04 mean?\u201d Simply put, this form can be used by any institutional provider for billing medical and mental health claims. This uniform billing form was created by The Centers for Medicare and Medicaid (CMS) to be used by institutional providers for claim billing.
The UB-04 uniform medical billing form is the standard claim form that any institutional provider can use for the billing of inpatient or outpatient medical and mental health claims. It is a paper claim form printed with red ink on white standard paper.
The 837I (Institutional) is the standard format used by institutional providers to transmit health care claims electronically. Review the chart below for the American National Standards Institute (ANSI) Accredited Standards Committee (ASC) X12N 837P for more information about this claim format.
In addition, for claims that will be reimbursed under the DRG payment methodology: The primary reason for admission should be placed in the primary diagnosis field (Box 67) of the UB-04 claim form.
38 Responsible Party Name and Address Required This field is for reporting the name and address of the person responsible for the bill. 39 - 41 Value Codes and Amounts Conditional These fields contain the codes and related dollar amounts to identify the monetary data for processing claims.

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