Claims and remittance using EDI 835 & EDI 837 transactions sets.

As a healthcare provider, you worry about the payment for the claims done by you. Who would not like a fast, accurate, and streamlined payment system for your claims?


EDI in healthcare does the same. The EDI 835 and EDI 837 do what is required to claim and remittance your transactions with insurance companies.


What is EDI 837?


Submitting the EDI 837 healthcare claim is necessary for the insurance to plan details of the payment using EDI 835. Payment details of EDI 837 include the patient description, patient condition, services provided, and treatment cost.

EDI 837 is compliant with HIPAA 5010, and the transaction groups are broken into 837P for professionals, 837I for institutes, and 837D for dental practices.

EDI 837 is efficient than paper-based claims that take more time than the EDI process.


What is EDI 835 or ERA?


ERA stands for Electronic remittance advice, which details the information of payments on claims. EDI 835 is efficient than paper remittance advice, as the transactions are electronic, standardized, and reduces human intervention. The EDI 835 can be automatically posted payments. It’s flexibles enough to give you the option to deposits funds in your bank account or with a paper check.


The response for the transactions varies. One 837 is used to address several 835 transactions, or one 835 transactions are used in response to several 837 transactions. EDI 835 makes it easy to track received payment for billed services.

It’s necessary to meet the HIPAA 5010 standards while you work with EDI transactions. For more information on EDI, transactions contact BundleN team or mail us.

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