New edits will be applied to EDI 837 claim submissions that identify claims submitted with information that may be missing or doesn’t match data in our systems.
A detailed description is provided for each edit beyond the standard messaging noted on the 277CA (claims acknowledgment) rejection report. View the list for help with correcting the claim and resubmitting electronically.
We validate and apply HIPAA claim edits before the claim is processed. This means rejections that may occur will appear at a clearinghouse level so you can identify and correct rejected information before we accept and process the claim.