Updates to the 837 Healthcare Claim Companion Guides MA-HIPAA-PAPROMISE

August 8, 2011

The department has updated the Pennsylvania PROMISe™ Companion Guides for the ANSI X12 v5010 837 Healthcare Claims. The affected companion guides are:

  • 837 – Dental
  • 837 – Institutional – Inpatient
  • 837 – Institutional – Long Term Care
  • 837 – Institutional – Outpatient
  • 837 – Professional
  • 837 – Professional – Drug

The companion guides were updated as follows:

7/2011 – Updated loop 1000A to remove note that PROMISe™ does not use PER segment. Although the data is not used, loop 1000A PER segment is required for a compliant transaction.

Updated loop 2010BB to indicate PROMISe™ does not use the Payer Address Segments in Loop 2010BB.

For more information on how you can become compliant with HIPPAA healthcare standards Contact 1EDISource today!