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EDI 837 Q3 Format Example Business Scenario 1 – 837 Institutional Claim. ASC X12 Version: 005010 | Transaction Set: 837 | TR3 ID: 005010X223. BCBSNC Companion Guide to X12 5010 Transactions – 837 Professional Health Care a sample scenario that is illustrated as both a data string and mapped 837 — Post Adjudicated Claims Data Reporting: Professional ASC X12 Version: 005010 | Transaction Set: 837 | TR3 ID: 005010X298. This example is taken from Appendix B.2 of the 837 IMPLEMENTATION GUIDE HEALTH CARE CLAIM: PROFESSIONAL prepared by the ASC X12N INSURANCE SUBCOMMITTEE. ISA*00*This X12 Transaction Set contains the format and establishes the data contents of the Healthcare Claim Transaction Set (837) for use within the context of The X12 837 and 835 files are industry standard files used for the electronic submission of healthcare claim and payment information. The 837 files contain BCBSNC Companion Guide to X12 5010 Transactions – 837 Institutional a sample scenario that is illustrated as both a data string and mapped transaction.

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