837 Health Care Claim: Professional (X222A2)
CGS Medicare · X12 005010X222A2
CGS Medicare’s published 837 specification, rendered as an interactive guide. Expand any segment to see its elements, data types, lengths and accepted codes — then validate your own document against it below.
Specification
6 of 6 segments
HEADING
ST
Transaction Set Header
pos 0050
Optional
max —
BHT
Beginning of Hierarchical Transaction
- The second example denotes the case where the entire transaction set contains ENCOUNTERS.
pos 0100
Required
max —
1000A LoopSubmitter Name Looprequired
NM1
Submitter Name
- The submitter is the entity responsible for the creation and formatting of this transaction.
pos 0200
Required
max —
PER
Submitter EDI Contact Information
- When the communication number represents a telephone number in the United States and other countries using the North American Dialing Plan (for voice, data, fax, etc.), the communication number must always include the area code and phone number using the format AAABBBCCCC where AAA is the area code, BBB is the telephone number prefix, and CCCC is the telephone number. Therefore, the following telephone number (555) 555-1234 would be represented as 5555551234. Do not submit long distance access numbers, such as "1", in the telephone number. Telephone extensions, when applicable, must be submitted in the next element immediately following the telephone number. When submitting telephone extensions, only submit the numeric extension. Do not include data that indicates an extension, such as "ext" or "x-".
- The contact information in this segment identifies the person in the submitter organization who deals with data transmission issues. If data transmission problems arise, this is the person to contact in the submitter organization.
- There are 2 repetitions of the PER segment to allow for six possible combinations of communication numbers including extensions.
pos 0450
Required
max 2
1000B LoopReceiver Name Looprequired
NM1
Receiver Name
pos 0200
Required
max —
DETAIL
SE
Transaction Set Trailer
pos 5550
Optional
max —
Validate a 837
Paste or upload a document and check it against CGS Medicare’s published rules — segment order and repetition, required elements, field lengths, data types and accepted codes. Nothing is stored.
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