837 Implementation

WHAIC 837 File Submission & Testing Instructions

WHAIC Testing Defined Requirements 

WHA Information Center requires all facilities to successfully complete testing prior to advancing to the 837 data submission in production.  Each facility must adhere to the technical specifications in the WHAIC 837 Companion Guide as provided below and produce a HIPAA compliant 837 transaction file.  Testing is based on individual locations and facility ID, not hospital / ASC affiliation or number of facilities in a hospital system.

WHAIC is asking facilities to work closely with use to perform comparative testing by submitting dual test files - submit one file in the current .txt file format and another in an 837 format.  Before you contact WHAIC to validate your data or address questions, please verify and evaluate your test results using the check list located within this document. 

WHAIC 837 File Submission & Testing Instructions | DOWNLOAD
Last updated August 21, 2017

 

WIpop 837 Companion Guide and Technical Specifications

837 Effective Date: January 1, 2018 Dates of Service

This document is the Official Wisconsin Hospital Association Information Center (WHAIC) WIpop specific companion document to support the ANSI ASC X12N837 Health Care Claims (837) transaction for institutional, professional and reporting format to submit hospital and ASC claims transactions detail into the secure WIpop data submission site.

The information in the document if your guide to understanding what specific records and transactions are required for reporting to WHAIC. Last update on August 23, 2017.  For further information, please contact Cindy Case or Jim Cahoy at whainfocenter@wha.org.

  1. Introduction
  2. WHAIC Data Collection
  3. WIpop Access and Data Submission
  4. 837 Data Submission and Technical Requirements
  5. WIpop Mapping Rules and 837 File Specifications
  6. Batch Details, Validation and Affirmation Process
  7. Appendices
    1. Facility List
    2. Race & Ethnicity
    3. Expected Source of Payment and 837 Payer Mapping
    4. Type of Bill
    5. Place of Service
    6. Coding Guidelines
    7. Point of Origin for Admission or Visit
    8. Patient Discharge Status
    9. WIpop Edit Codes and Descriptions
    10. WIpop Roles and Registration
    11. De-identification of Name to Create UCID / ECID
    12. Data Dictionary
      • Black Box Program and Instructions | DOWNLOAD
    13. Manual Data Entry Instructions
    14. Marital Status Codes
    15. Terms, Acronyms and Definitions
    16. FAQ

DOWNLOAD the entire manual.

 

Previous 837 Project Announcements

Previous 837 documentation will be archived on this page as WHA Information Center continues to provide new information to the data submitters.