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RCM glossary

837 (electronic claim)

The HIPAA-standard electronic format for submitting healthcare claims.

The X12 837 transaction is the electronic equivalent of a paper claim form. The 837P is used for professional claims (like the CMS-1500 form) and the 837I for institutional claims (like the UB-04).

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Related terms

Clearinghouse
A company that checks and routes electronic claims between providers and payers.
ERA (835)
The electronic remittance advice: the payer's electronic explanation of payment.
270/271 transaction
The standard electronic request (270) and response (271) for insurance eligibility.

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