837 Implementation

Data Submission Transition to 837 Data Format 

WHAIC Announcement Regarding the Transition to the 837 Data Format | DOWNLOAD

Project Plan 

  • 837 Project - "High Level" Timeline | Download
  • WHAIC January Introductory Webinar PowerPoint (January 17 & January 26) | Download
  • Audio from January 17 Webinar | Download

General Companion Guide:  837 Institutional and Professional Healthcare Claims Submission - Version 5010

 Version Effective Date:  April 1, 2017

This document has been prepared as a Wisconsin Hospital Association Information Center (WHAIC) WIpop specific companion document to support the ANSI ASC X12N837 Health Care Claims (837) transaction for institutional and professional reporting of claims transactions detail into the WIpop data submission site.

The information in the document should be used to clarify when specific transaction instructions are required, situational or mapped data fields used for reporting to WHAIC. Last update on March 6, 2017.  For further information, please contact Cindy Case.

  1. Introduction
  2. General Information & Overview
  3. File Submission
  4. Claim Submission Guidelines and Technical Requirements
  5. Required Data File Formats & Data Elements
  6. Batch Files, Edits and Validation / Affirmation Process
  7. Appendices
    1. Facility List
    2. Race & Ethnicity
    3. Payer Mapping
    4. Type of Bill
    5. Place of Service
    6. Coding Guidelines
    7. Point of Origin for Admission or Visit
    8. Patient Discharge Status
    9. WIpop Edit Codes and Descriptions
    10. Access to WIpop Data Submission System
    11. Marital Status Codes
    12. De-identification of Name to Create UCID / ECID
      • Black Box Program and Instructions | DOWNLOAD
    13. Data Dictionary
    14. Terms and Acronyms Definitions
  8. Record of Revisions

DOWNLOAD the entire manual.