ANSI X12 837

ANSI X12 837 is a standardized electronic format used for transmitting healthcare claim information between healthcare providers and payers, such as insurance companies or Medicare. This format is part of the X12 electronic data interchange (EDI) standards developed by the Accredited Standards Committee (ASC) X12. The 837 transaction set is used specifically for submitting health care claims for services rendered, whether for professional services, institutional services, or dental services.

The ANSI X12 837 format allows for the efficient exchange of information, including patient demographics, provider details, diagnosis codes, and procedure codes, ensuring that claims are processed accurately and swiftly. Compliance with the ANSI X12 837 standard is essential for healthcare providers and payers to facilitate electronic claims submissions, streamline the billing process, and reduce errors, ultimately improving the revenue cycle and cash flow for healthcare organizations.