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).