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This Companion Guide to the v5010 ASC X12N Technical Report Type 3 .. Helpful Information for Providers/Vendors testing ANSI X12 formats: All lower case characters submitted on an inbound 837 file will be converted to upper case. Health Partners Plans will receive valid HIPAA X12N 837I & P transactions from WebMD/Emdeon and submitting invalid data will cause files to be rejected.10 Aug 2012 BCBSNC Companion Guide to X12 5010 Transactions – 837 a table outlining specific requests for data format or content within the 30 Jan 2018 CMS 837P TI COMPANION GUIDE. January 2018. 1 . 005010X222A1 Health Care Claim: Professional (837). 3. . appropriate format based. 8 Aug 2018 As with Segments, there are also several Element Identifier Codes that you will see throughout the file, such as: 41 = Claim Creator (Hardcoded to EI Assistant) 40 = Claim Receiver. 85 = Billing Provider. 82 = Rendering Provider. DN = Referring Provider. IC = Information Contact. 77 = Service Location. 472 = Date of 13 Sep 2011 Testing and Implementation Guide for ANSI X12 837 – Version 005010X222A1. 2 . The ANSI X12N 837 Health Care Claim: Professional transaction . Claim/submission format is invalid: Multiple providers billed. A3. 510. 14 Jan 2019 837 File Format Guide Today's technology innovations allow for the rapid exchange of data all over the globe. In offices that offer patient Purpose of the Health Care Claim (837) Implementation Guide Test files must be transmitted in the same format that will be used for production files (e.g., 30 Jan 2018 CMS 837I TI COMPANION GUIDE . 005010X223A2 Health Care Claim: Institutional (837). 3. format based on the respective qualifier. BCBSNC Companion Guide to X12 5010 Transactions – 837 Institutional Health .. The following transmission sample illustrates the file format used for an EDI