Lesson4-Reading837ErrorReportsandMakingCorrections.ppt

Lesson 4 Reading 837 Error Reports and Making Corrections Lesson 4 Topics 837 Data Layout Get to Know HIPAA Implementation Guides and Addenda Error Report Match 837 and 997 Files Find Errors Correct Errors and Resubmit Batch What Does It Mean For You? Application Coordinator:“Once you understand the 837, it’s going to make your job more efficient.” Transaction Set Sections Overall data stream of 837 is called a Transaction Set Transaction Set contains sections; each section provides specific kind of information Transaction Set sections: Transaction Header Billing Provider Detail Subscriber Detail Patient Detail Claim Detail Transaction Trailer Data Segments Every section of Transaction Set contains data segments Segments begin each line of detail Segments are 2-3 alpha characters Here segments are in bold Data Elements Each segment contains data elements Similar to data provided by each individual Form Locator position on UB-92 or HCFA 1500 Number of elements varies depending on segment’s purpose Data elements separated by asterisks In this example, ST segment has 2 elements; BHT segment has 6 elements Counting Data Elements To correct errors in an 837, you need to know how to count data elements Element counts begin to the right of the segment; elements separated by asterisk In this example: ST01 is “837” (first set of data between asterisks) BHT03 is “101537” (third set of data between asterisks) Quick Reference Guide Shows typical billing scenario and how it looks when presented in 837 format 837 data string is broken out line-by-line so you can see the loops, segments, and data elements Explains how to convert 837 file into lined item that is easier to troubleshoot When viewed on screen, 837 file is one long data stream Can be very difficult to read Lesson 4 Topics 837 Data Layout Get to Know HIPAA Implementation Guides and Addenda Error Report Match 837 and 997 Files Find Errors Correct Errors and Resubmit Batch Three Different Guides/Addenda Three versi