The ASC X12N Health Care Claim: Professional (837P), Institutional (837I), and Dental (837D) transactions allow healthcare professional, institutional, and dental providers to submit healthcare claims for a service or encounter. A healthcare claim includes:
The following Technical Report Type 3 can be purchased at the ASC X12 Store:
The next anticipated version of the ASC X12N Health Care Claim (837) transactions is 7030™. These TR3s will be available for public review and comment from February 1, 2017 through May 2, 2017.
Although CAQH CORE® has developed operating rules pertaining to the ASC X12N Health Care Claim: Professional, Institutional, and Dental (837) transactions for their voluntary Phase IV certification program, the National Committee on Vital and Health Statistics (NCVHS), advisory body to the Department of Health and Human Services, recommended that the Phase IV Operating Rules not be adopted under regulatory mandate. No federal regulation is anticipated.
CAQH CORE offers a voluntary certification program for their Phase IV Operating Rules, which cover the ASC X12N Health Care Claim: Professional, Institutional, and Dental transactions.