Term
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Definition
1 Purpose and Overview
2 Data Overview
3 Transaction Set
837 Health Care Claim: Professional
4 EDI Transmission Examples for Different Business Uses
Appendices |
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Term
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Definition
1.1 Document Purpose
1.2 Version and Release
1.3 Business Use and Definition
1.4 Information Flows
1.5 Property and Casualty |
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Term
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Definition
2.1 Overall Data Architecture
2.2 Loop Labeling and Use
2.3 Data Use by Business Use
2.4 Loop ID-1000
2.5 The Claim
2.6 Interactions with Other Transactions
2.7 National Uniform Claim Committee
2.8 Limitations to the Size of a Claim/Encounter (837) Transaction
2.9 Use of Data Segment and Elements Marked "Situational" |
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Term
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Definition
| 3.1 Presentation Examples |
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Term
| 837 Health Care Claim: Professional |
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Definition
Header
Detail - Billing/Pay-to-Provider Hierarchical Level
Detail - Subscriber Hierarchical Level
Detail - Patient Hierarchical Level |
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Term
4
EDI Transmission Examples for Different Business Uses |
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Definition
4.1 Professional
4.2 Property and Casualty |
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Term
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Definition
A ASC X12 Nomenclature
B EDI Control Directory
C External Code Sources
D Change Summary
E Data Element Name Index
F NSF Mapping
G Credit/Debit Card Use
H Medicare Primary, Secondary and Supplemental Payers
I National Uniform Claim Committee Recommendations
J X12N Name Index
K Loop 2440 Example |
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