Health Insurance Portability and Accountability Act
The Health Insurance Portability and Accountability Act (HIPAA) requires the Secretary of HHS to adopt standards for financial and administrative transactions and data elements for those transactions.
These national standards make it easier for health plans, health care clearinghouses, physicians, hospitals, and other health care providers to process claims and other transactions electronically.
Use the X12 837 format to submit all HIPAA electronic claims. The Accredited Standards Committee (ASC) X12 develops and maintains the HIPAA EDI standards.
The American National Standards Institute (ANSI) ASC X12N 837I (837 Institutional) Version 5010A2 is the electronic format used to submit institutional and supplier claims.
To learn more, visit the ASC X12 website.