Understanding Types of Additional Information

The 837 P and 837 I can contain different pieces of additional information which is expressed through the following segments. The HIPAAsuite parsing engine catches and stores each bit of information.

837 P

The 837 P can contain...

On the claim level:

• Loop 2010AB — Pay-To Provider's Information (Pay-To Address in 5010)
• Loop Loop 2010AC — Pay-To Plan
• Loop 2010BC — Responsible Party
• Loop 2010BD — Credit Card Holder
• Loop 2000B — Additional Subscriber Information
• Loop 2000C — Additional Patient Information
• Loop 2310A — Referring Provider's Information
• Loop 2310B — Rendering Provider's Information
• Loop 2310C — Purchased Service Provider
• Loop 2310D — Service Facility (2310C in 5010)
• Loop 2310E — Supervising Physician (2310D in 5010)
• Loop 2310E — Ambulance Pick-up Location (5010)
• Loop 2310F — Ambulance Drop-off Location (5010)
• Loop 2420 — Line Level Providers
• Loop 2300 — Additional Claim Information (DTP,REF,AMT etc.)
• Segment K3 File Information
• Segment PWK — Paperwork
• Segment NTE — Notes
• Segment HI*BF — Additional Diagnosis Codes
• Segment HI*BP/BO — Anesthesia Related Procedure Codes
• Segment HI*BG — Condition Codes
• Segment CN1 — Contract Information
• Segment CR1 — Ambulance Transport Information
• Segment CR2 — Spinal Manipulation
• Segment CR5 — Home Oxygen Therapie Info
• Segment CRC — Certificates, Conditions etc.
• Segment HCP — Repricing Information
• Segment CR7 — Home Healthcare Plan Information
• Segment HSD — Health Service Delivery

On the line level:

• Segment K3 File Information LineLevel
• Segment CRC — Certificates, Conditions Linelevel
• Segment QTY — Ambulance Patient Count, Anesthesia Add.Units Linelevel
• Loop 2420 — Line Level Providers
• Segment PWK — Paperwork Linelevel
• Segment HCP — Repricing Information Linelevel
• Segment HSD — Health Service Delivery Linelevel
• Segment PS1 Purchased Services Information Linelevel
• Segment MEA — Test Results Linelevel
• Loop 2440 Form Identification Code Linelevel
• Segment NTE — Notes LineLevel
• Segment CR2 — Spinal Manipulation Linelevel//[CHF 11-21-2011 *139]
• Segment CR1 — Ambulance Info Linelevel
• Segment CN1 — Contract Info Line
• Segment CR3 — DMERC — Line only
• Loop 2410 Drug Information Linelevel
• Loop 2400 — Additional Claim Information Linelevel(DTP,REF,AMT etc.)

 

 

837 I

The 837 I can contain...

On the claim level:

• EDI_Envelope: ISA — GS — ST — BHT
• Loop 2000A — Billing Provider's Information
• Loop 2010AB — Pay-To Provider's Information (Pay-To Address in 5010
• Loop 2010AC — Pay-To Plan
• Loop 2010BD — Credit Card Holder
• Loop 2000B — Additional Subscriber Information
• Loop 2000C — Additional Patient Information
• Loop 2310A — Attending Physician's Information
• Loop 2310B — Operating Physician's Information
• Loop 2310C — Other Physician's Information
• Loop 2310D — Rendering Provider's Information (5010
• Loop 2310E — Service Facility
• Loop 2310F — Reffering Provider's Information (5010)
• Loop 2300 — Additional Claim Information (DTP,REF,AMT etc.)
• Segment K3 2300 — K3 File Information
• Segment PWK — PWK — Paperwork
• Segment NTE 2300 — NTE   Notes
• Segment NTE 2400 — NTE — Notes Linelevel
• Segment HI*BF — HI*BF — Diagnosis Codes
• Segment HI*BN — HI*BN — E — Codes
• Segment HI*DR — HI*DR — Diagnosis Related Codes
• Segment HI*BI — HI*BI — Occurrence Span Codes
• Segment HI*BH — HI*BH — Occurrence Codes
• Segment HI*BE — HI*BE — Value Codes
• Segment HI*BG — HI*BG — Condition Codes
• Segment HI*TC — HI*TC — Treatment Codes
• Segment HI*BQ/BO — HI*BQ/BO — Procedure Codes
• Segment QTY — QTY — Claim Quantity
• Segment CN1 — CN1 — Contract Info
• Segment CRC — CRC — Certificates, Conditions
• Segment HCP — HCP — Repricing Information
• Segment CR7 — CR7 — Home Healthcare Plan Information
• Segment HSD — HSD — Healthcare Service Delivery
• Segment CR6 — CR6 — Home HealthCare Information

On the line level:

• Loop 2400 — Additional Claim Information Linelevel(DTP,REF,AMT etc.)
• Loop 2410 — Drug Information
• Loop 2420 — Line Level Providers
• Segment HCP — Repricing Information Linelevel
• Segment HSD — Healthcare Service Delivery Linelevel
• Segment CN1 — Contract Info Linelevel
• Segment CRC — Certificates, Conditions Linelevel
• Segment PWK 2400 — PWK — Linelevel

 

837 D

The 837 D can contain...

On the claim level:

• Loop 2000A Additional Billing Provider's Information
• Loop 2010AB Additional Pay-To Provider's Information
• Loop 2010BC — Credit Card Holder
• Loop 2000B — Additional Subscriber Information
• Loop 2000C — Additional Patient Information
• Loop 2310A — Referring Provider's Information
• Loop 2310B — Rendering Provider's Information
• Loop 2310C — Service Facility's Information
• Loop 300 — Additional Claim Information (DTP, REF, AMT etc.)
• PWK Claim Supplemental Information
• NTE Claim Note
• HCP Claim Pricing/Repricing Information

On the line level:

• Loop 2400 — Additional Claim Information Line level(DTP, REF, AMT etc.)
• NTE Claim Note
• DN2 — Tooth Status
• HCP Line Pricing/Repricing Information
• Loop 2420 — Line Level Providers

 

837 R

The 837 R can contain...

On the claim level:

• Loop Service Provider's Information
• Loop 2000B — Additional Subscriber Information
• Loop 2000C — Additional Patient Information
• Loop 2310A — Attending Provider's Information
• Loop 2310B — Operating Provider's Information
• Loop 2310C — Other Physician's Information
• Loop 2310D — Rendering Provider's Information
• Loop 2310F — Referring Provider's Information
• Loop 2300 — Additional Claim Information (DTP, REF, AMT etc.)
• K3 — File Information
• PWK Claim Supplemental Information
• NTE Claim Note
• HI*BF — Diagnosis Codes
• HI*BN — E Codes
• HI*DR — Diagnosis Related Codes
• HI*BQ/BO — Procedure Codes
• HI*BI — Occurrance Span Codes
• HI*BH — Occurrance Codes
• HI*BE — Value Codes
• HI*BG — Condition Codes

On the line level:

• Loop 2400 — Additional Claim Information Linelevel(DTP, REF, AMT etc.)
• Segment NTE Claim Note
• Loop 2410 — Drug Information
• Loop 2420 — Line Level Providers

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