In Resolute, how is the correct 837 version (837I vs 837P) determined for submission?

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Multiple Choice

In Resolute, how is the correct 837 version (837I vs 837P) determined for submission?

In Resolute, the version of the 837 file generated for submission is determined by the service type being billed. Professional claims are 837P and cover physician services, while institutional claims are 837I and cover facility-based charges. The system looks at the encounter’s service lines and billing type and automatically selects the corresponding 837 version so the submission matches the appropriate HIPAA format for that service type. Patient preference or payer demands can influence some workflows, but the primary driver in Resolute is the service type. The claim scrubber checks the file after submission for errors, it does not decide which 837 version to generate.

In Resolute, the version of the 837 file generated for submission is determined by the service type being billed. Professional claims are 837P and cover physician services, while institutional claims are 837I and cover facility-based charges. The system looks at the encounter’s service lines and billing type and automatically selects the corresponding 837 version so the submission matches the appropriate HIPAA format for that service type. Patient preference or payer demands can influence some workflows, but the primary driver in Resolute is the service type. The claim scrubber checks the file after submission for errors, it does not decide which 837 version to generate.

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