The 837 P and 837 I can contain different pieces of additional information which is expressed through the following segments. The HIPAAsuite parsing engine catches and stores each bit of information.

837 P

The 837 P can contain...

On the claim level:

•Loop 2010AB — Pay-To Provider's Information (Pay-To Address in 5010)
• Loop Loop 2010AC — Pay-To Plan
• Loop 2010BC — Responsible Party
• Loop 2010BD — Credit Card Holder
• Loop 2000B — Additional Subscriber Information
• Loop 2000C — Additional Patient Information
• Loop 2310A — Referring Provider's Information
• Loop 2310B — Rendering Provider's Information
• Loop 2310C — Purchased Service Provider
• Loop 2310D — Service Facility (2310C in 5010)
• Loop 2310E — Supervising Physician (2310D in 5010)
• Loop 2310E — Ambulance Pick-up Location (5010)
• Loop 2310F — Ambulance Drop-off Location (5010)
• Loop 2420 — Line Level Providers
• Loop 2300 — Additional Claim Information (DTP,REF,AMT etc.)
• Segment K3 File Information
• Segment PWK — Paperwork
• Segment NTE — Notes
• Segment HI*BF — Additional Diagnosis Codes
• Segment HI*BP/BO — Anesthesia Related Procedure Codes
• Segment HI*BG — Condition Codes
• Segment CN1 — Contract Information
• Segment CR1 — Ambulance Transport Information
• Segment CR2 — Spinal Manipulation
• Segment CR5 — Home Oxygen Therapie Info
• Segment CRC — Certificates, Conditions etc.
• Segment HCP — Repricing Information
• Segment CR7 — Home Healthcare Plan Information
• Segment HSD — Health Service Delivery

On the line level:

•Segment K3 File Information LineLevel
•Segment CRC — Certificates, Conditions Linelevel
•Segment QTY — Ambulance Patient Count, Anesthesia Add.Units Linelevel
•Loop 2420 — Line Level Providers
•Segment PWK — Paperwork Linelevel
•Segment HCP — Repricing Information Linelevel
•Segment HSD — Health Service Delivery Linelevel
•Segment PS1 Purchased Services Information Linelevel
•Segment MEA — Test Results Linelevel
•Loop 2440 Form Identification Code Linelevel
•Segment NTE — Notes LineLevel
•Segment CR2 — Spinal Manipulation Linelevel//[CHF 11-21-2011 *139]
•Segment CR1 — Ambulance Info Linelevel
•Segment CN1 — Contract Info Line
•Segment CR3 — DMERC — Line only
•Loop 2410 Drug Information Linelevel
•Loop 2400 — Additional Claim Information Linelevel(DTP,REF,AMT etc.)

 

 

837 I

The 837 I can contain...

On the claim level:

•EDI_Envelope: ISA — GS — ST — BHT
•Loop 2000A — Billing Provider's Information
•Loop 2010AB — Pay-To Provider's Information (Pay-To Address in 5010
•Loop 2010AC — Pay-To Plan
•Loop 2010BD — Credit Card Holder
•Loop 2000B — Additional Subscriber Information
•Loop 2000C — Additional Patient Information
•Loop 2310A — Attending Physician's Information
•Loop 2310B — Operating Physician's Information
•Loop 2310C — Other Physician's Information
•Loop 2310D — Rendering Provider's Information (5010
•Loop 2310E — Service Facility
•Loop 2310F — Reffering Provider's Information (5010)
•Loop 2300 — Additional Claim Information (DTP,REF,AMT etc.)
•Segment K3 2300 — K3 File Information
•Segment PWK — PWK — Paperwork
•Segment NTE 2300 — NTE   Notes
•Segment NTE 2400 — NTE — Notes Linelevel
•Segment HI*BF — HI*BF — Diagnosis Codes
•Segment HI*BN — HI*BN — E — Codes
•Segment HI*DR — HI*DR — Diagnosis Related Codes
•Segment HI*BI — HI*BI — Occurrence Span Codes
•Segment HI*BH — HI*BH — Occurrence Codes
•Segment HI*BE — HI*BE — Value Codes
•Segment HI*BG — HI*BG — Condition Codes
•Segment HI*TC — HI*TC — Treatment Codes
•Segment HI*BQ/BO — HI*BQ/BO — Procedure Codes
•Segment QTY — QTY — Claim Quantity
•Segment CN1 — CN1 — Contract Info
•Segment CRC — CRC — Certificates, Conditions
•Segment HCP — HCP — Repricing Information
•Segment CR7 — CR7 — Home Healthcare Plan Information
•Segment HSD — HSD — Healthcare Service Delivery
•Segment CR6 — CR6 — Home HealthCare Information

On the line level:

•Loop 2400 — Additional Claim Information Linelevel(DTP,REF,AMT etc.)
•Loop 2410 — Drug Information
•Loop 2420 — Line Level Providers
•Segment HCP — Repricing Information Linelevel
•Segment HSD — Healthcare Service Delivery Linelevel
•Segment CN1 — Contract Info Linelevel
•Segment CRC — Certificates, Conditions Linelevel
•Segment PWK 2400 — PWK — Linelevel

 

837 D

The 837 D can contain...

On the claim level:

•Loop 2000A Additional Billing Provider's Information
•Loop 2010AB Additional Pay-To Provider's Information
•Loop 2010BC — Credit Card Holder
•Loop 2000B — Additional Subscriber Information
•Loop 2000C — Additional Patient Information
•Loop 2310A — Referring Provider's Information
•Loop 2310B — Rendering Provider's Information
•Loop 2310C — Service Facility's Information
•Loop 300 — Additional Claim Information (DTP, REF, AMT etc.)
•PWK Claim Supplemental Information
•NTE Claim Note
•HCP Claim Pricing/Repricing Information

On the line level:

•Loop 2400 — Additional Claim Information Line level(DTP, REF, AMT etc.)
•NTE Claim Note
•DN2 — Tooth Status
•HCP Line Pricing/Repricing Information
•Loop 2420 — Line Level Providers

 

837 R

The 837 R can contain...

On the claim level:

•Loop Service Provider's Information
•Loop 2000B — Additional Subscriber Information
•Loop 2000C — Additional Patient Information
•Loop 2310A — Attending Provider's Information
•Loop 2310B — Operating Provider's Information
•Loop 2310C — Other Physician's Information
•Loop 2310D — Rendering Provider's Information
•Loop 2310F — Referring Provider's Information
•Loop 2300 — Additional Claim Information (DTP, REF, AMT etc.)
•K3 — File Information
•PWK Claim Supplemental Information
•NTE Claim Note
•HI*BF — Diagnosis Codes
•HI*BN — E Codes
•HI*DR — Diagnosis Related Codes
•HI*BQ/BO — Procedure Codes
•HI*BI — Occurrance Span Codes
•HI*BH — Occurrance Codes
•HI*BE — Value Codes
•HI*BG — Condition Codes

On the line level:

•Loop 2400 — Additional Claim Information Linelevel(DTP, REF, AMT etc.)
•Segment NTE Claim Note
•Loop 2410 — Drug Information
•Loop 2420 — Line Level Providers