EDI Health Care Claim Transaction Set (HIPAA EDI 837)

• HIPAA EDI 837 is an electronic document used to transmit billing information and/or details about medical encounters. It can be used by healthcare providers to send information to payers or to coordinate benefits between multiple payers. Many state agencies require all electronic healthcare claims be submitted using HIPAA EDI 837. This results in quicker payment, greater accuracy and the ability to track whether claims have been received.
  
  

EDI Health Care Claim Payment (HIPAA EDI 835)

• HIPAA EDI 835 is an electronic document used to make payments and/or send an explanation of benefits. It is used by health insurance companies to send payments and information to health care providers. Since EDI is used less commonly to make payments, this document is used less than other HIPAA EDI standards.
  
  

EDI Application Advice (HIPAA EDI 824)

• HIPAA EDI 824 is used to report the results of editing transaction sets. This document is supposed to facilitate the reporting of acceptance or rejections of any given set of transactions. Each transaction set must receive a specific response.