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Companion Guide for 837 Professional and Institutional Healthcare Claims Submission

Guide

Claims
Provider

This companion guide provides specific instructions for submitting 837 healthcare claims, both professional and institutional, to Colorado Access. It supplements the ANSI ASC X12N 837 version 5010 standards and outlines the necessary data elements, submission procedures, and testing protocols. Intended for technical staff and billing offices, it ensures compliance with HIPAA regulations. Users will find details on file naming conventions, test file requirements, and payer-specific data needs. This document is essential for direct claim submissions and should be used alongside the standard HIPAA guidelines.