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Back  RFI # 321: 837 fields required in 835

Formal vs. Informal Help Informal Formal

Submitter

Annette Gabel

Description

I am in the process of mapping an X12 837 version 4010 to an NCPDP 5.1 transaction.

I realized I also needed to consider how we send back the information in the X12 835. Today we send back NCPDP 5.1 claim information not 837 claim data. Is there somewhere either in the 835 4010 guide or the 837 4010 guide that would describe what is required to be in an 835 when an 837 is used for billing?

Submitter Assigned Keywords

Relationship from 837 to 835

Response

All of the requirements are internal to IG 004010X091 and 004010X091A1. There are no other X12N documents that establish requirements for the structure or content of the 835.
Submission 9/8/2005
Status Date 10/4/2005
Status F - Final
Primary References
Document 004010X091A1
Section2.2.5
Page25
Set ID835