When submitting hospital claims electronically, Resolute maps data to which claim format?

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Multiple Choice

When submitting hospital claims electronically, Resolute maps data to which claim format?

When submitting hospital claims electronically, the data is mapped to the Institutional 837 format. This HIPAA standard, 837I, is designed specifically for institutional or facility claims like those from hospitals, capturing facility charges, patient and payer details, diagnosis and procedure codes, dates, and other hospital-specific data elements in a structure payers expect. UB-04 is the paper form equivalent of this claim type, 837P is used for professional (physician) claims, and 835 is the remittance advice file, not the claim itself.

When submitting hospital claims electronically, the data is mapped to the Institutional 837 format. This HIPAA standard, 837I, is designed specifically for institutional or facility claims like those from hospitals, capturing facility charges, patient and payer details, diagnosis and procedure codes, dates, and other hospital-specific data elements in a structure payers expect. UB-04 is the paper form equivalent of this claim type, 837P is used for professional (physician) claims, and 835 is the remittance advice file, not the claim itself.

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