EDI Resource Center
X12 EDI 837
What is an EDI 837 Healthcare Claim?
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. This can be done directly or via intermediary billers and claims clearinghouses.
How is an EDI 837 Used?
The EDI 837 Healthcare Claim involves the submission of healthcare claim billing information, encounter information, or both. This X12 Transaction Set has the format and builds the data contents of the Healthcare Claim Transaction Set (837) for use within the context of an EDI environment.
EDI 837 Benefits
- Allows healthcare providers to connect with insurers and smooth out backend operations
- Improved efficiency and accuracy of healthcare billing for both providers & insurers
- Faster reimbursement for providing healthcare
Key Data Elements You'll Find in a Healthcare Claim:
- Patient description
- The patient's condition (why treatment was provided)
- Provided services
- Treatment cost
CData Arc - Easy X12 EDI 837 Mapping & Translation
CData Arc is a modern, end-to-end EDI solution complete with EDI mapping & translation, secure file exchange with EDI partners, and automated EDI-backend integration. CData Arc can translate any EDI document into XML, Excel, CSV and any other major business format. With built-in EDI document transformation flows, you can easily & automatically transform EDI documents at the click of a button.