Examples

Providing implementers with examples that clarify the use of ASC X12 transaction sets.

 

837 Professional Examples

> Commercial Health Insurance
> ASC X12 Version: 005010 | Transaction Set: 837 | TR3 ID: 005010X222

> Encounter
> ASC X12 Version: 005010 | Transaction Set: 837 | TR3 ID: 005010X222

> Coordination of Benefits (COB)
> ASC X12 Version: 005010 | Transaction Set: 837 | TR3 ID: 005010X222

> Medicare Secondary Payer (COB)
> ASC X12 Version: 005010 | Transaction Set: 837 | TR3 ID: 005010X222

> Ambulance
> ASC X12 Version: 005010 | Transaction Set: 837 | TR3 ID: 005010X222

> Chiropractic
> ASC X12 Version: 005010 | Transaction Set: 837 | TR3 ID: 005010X222

> Oxygen
> ASC X12 Version: 005010 | Transaction Set: 837 | TR3 ID: 005010X222

> Wheelchair
> ASC X12 Version: 005010 | Transaction Set: 837 | TR3 ID: 005010X222

> Anesthesia
> ASC X12 Version: 005010 | Transaction Set: 837 | TR3 ID: 005010X222

> Drugs
> ASC X12 Version: 005010 | Transaction Set: 837 | TR3 ID: 005010X222

> PPO Repriced Claim
> ASC X12 Version: 005010 | Transaction Set: 837 | TR3 ID: 005010X222

> Out of Network Repriced Claim
> ASC X12 Version: 005010 | Transaction Set: 837 | TR3 ID: 005010X222