Which format is commonly used for submitting healthcare claims electronically?

The 837 Record format is specifically designed for submitting healthcare claims electronically under the Health Insurance Portability and Accountability Act (HIPAA) regulations. This format allows healthcare providers to transmit claims information to health plans efficiently and securely.

The 837 Record includes detailed data regarding patient encounters, procedures performed, diagnoses, and billing information, making it essential for both providers and payers in the claims processing workflow. Since it is a standard format recognized by HIPAA, it facilitates interoperability and standardization within the healthcare industry, which simplifies the claim submission process and helps ensure compliance with government regulations.

This standard is a critical component of the electronic healthcare claims process and is commonly utilized across various healthcare entities, enhancing the speed and accuracy of payment processing.