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Multiple Choice

Which 837 transaction set is used for institutional claims?

When billing for hospital or facility-based services, the correct 837 transaction set is the Institutional version. Hospitals and other facilities use this format to submit claims for inpatient, outpatient, and ancillary services, and it is built around facility data such as revenue codes, service dates, and facility charges. This differs from professional claims, which use the professional 837P format to bill individual clinicians for their services, and from dental claims, which use the dental 837D format. So for institutional claims, 837I is the appropriate choice.

When billing for hospital or facility-based services, the correct 837 transaction set is the Institutional version. Hospitals and other facilities use this format to submit claims for inpatient, outpatient, and ancillary services, and it is built around facility data such as revenue codes, service dates, and facility charges. This differs from professional claims, which use the professional 837P format to bill individual clinicians for their services, and from dental claims, which use the dental 837D format. So for institutional claims, 837I is the appropriate choice.