Data & standards

X12

Definition

The standards body whose EDI formats carry HIPAA healthcare transactions.

837 for claims, 835 for remittance, 270 and 271 for eligibility, 278 for authorisation.

837PThe X12 electronic transaction for professional claims.Definition Remittance advice (835)The X12 transaction explaining what a payer paid, adjusted or denied on each claim line.Definition HIPAA transaction standardsThe federally mandated formats for electronic healthcare transactions, including claims, remittance and eligibility.Definition

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