Supported File Formats
- 19 Apr 2024
- 1 Minute to read
- Print
- DarkLight
- PDF
Supported File Formats
- Updated on 19 Apr 2024
- 1 Minute to read
- Print
- DarkLight
- PDF
Article Summary
Share feedback
Thanks for sharing your feedback!
Supported Claim Formats
ANSI X12 (837)
Supported ANSI X12 file formats:
- 837P = Professional Claims
- 837I = Institutional Claims
- 837D = Dental Claims
Companion Guide
| X12 Segment | Definition | Expected Value |
|---|---|---|
| ISA01 | Author Info Qual | 00 |
| ISA03 | Security Info Qual | 00 |
| ISA05 | Interchange Sender ID Qual | ZZ |
| ISA06 | Interchange Sender ID | [Claim.MD Acct #] |
| ISA07 | Interchange Receiver ID Qual | ZZ |
| ISA08 | Interchange Receiver ID | CLAIMMD |
| GS02 | Application Sends Code | [Claim.MD Acct #] |
| GS03 | Application Recs Code | CLAIMMD |
Single Line Claim File (XLS/CSV)
Spreadsheet claim format, with all claim data and procedures on a single row. Format is CSV (Comma Separated Values) or XLS (Office Excel 97)
Multi-line Claim File (XLSX)
Spreadsheet claim format, with a separate row per procedure. Format is XLSX (Excel 2007)
XML Claim File (XML)
XML claim format
JSON Claim File (JSON)
JSON claim format
Batch Eligibility (CSV)
Spreadsheet batch eligibility file. Results must be viewed individually.
Was this article helpful?