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837 & 835

Automation of X12 837 and 835 files, which are the industry standard files used for the electronic submission of healthcare claim and payment information, can bring several benefits to the healthcare industry. Firstly, it can reduce the risk of errors and increase the accuracy of claims submissions. Automated systems can also process claims faster, resulting in quicker payment and reducing the time spent on manual data entry. Moreover, automated systems can provide more detailed and accurate tracking and reporting, making it easier to monitor the progress of claims and identify any potential issues. Additionally, automation can also help improve compliance with regulations and standards, reducing the risk of penalties and fines.Ultimately, the use of automation can help streamline the healthcare claims and payment process, reducing costs and improving efficiency for healthcare providers, payers, and patients.


Claims Filing


  1. Data extraction: the necessary data from relevant sources, such as an EHR, electronic medical records, or claims management systems.
  2. Data mapping: map the extracted data to the X12 837 and 835 file formats, ensuring that all required fields are populated and formatted correctly.
  3. Data validation: validate the extracted and mapped data, check for errors or discrepancies, and make necessary corrections.
  4. File creation: create the X12 837 and 835 files containing the relevant claim and payment information.
  5. Electronic submission: electronically submit the files to the appropriate payer or clearinghouse.
  6. Update the data in the HER.
  7. Tracking and reporting: track the status of the claims and payments and provide reporting and analytics to the relevant stakeholders.

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