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Format 837: Health Care Claims

Q. How do I register to submit claims electronically?
A.
Complete the Electronic Transaction Registration Packet  (563KB). If you need assistance to complete the forms, contact EC Solutions at 800-407-0267. Note: You must be enrolled with Wellmark to complete the registration process.

 

Q. How do I get help finding a method to send claims?
A.
If you are concerned about finding a method for sending your claims electronically, please call the EC Solutions Sales team at 800-407-0267 and they can help you with a solution.


Q. What reports are available?
A.
The first available report is the TXN which is an accept/reject report based on standard format and patient eligibility. The second report available is the Z16 which is an accept/reject report based on payer specifications.

 

Q. What is the acceptable electronic claim format?
A.
Submitters are required to send claims in a HIPAA-compliant format (ANSI 837x4010A1 transaction).


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