Section title: X12 EDI Examples
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X12 Version: 008060 | Transaction Set: 837 | TR3 ID: 008060X323

Example: Chiropractic Spinal Manipulation with X-Ray

BUSINESS SCENARIO:

Patient is an adult male receiving chiropractic spinal manipulation with X-Ray due to acute back pain. Subscriber is the Patient. The Payer is Medicare B and the encounter is billed directly to Medicare B.

Example:

SUBMITTER:
SUBMITTER NAME: PROVIDER MEDICAL GROUP
SUBMITTER ID: N305
SUBMITTER CONTACT NAME: NINA
SUBMITTER CONTACT NUMBER: 6155551212 ext. 911

RECEIVER:
RECEIVER NAME: MEDICARE B RECEIVER
RECEIVER ID: 05440

BILLING PROVIDER:
BILLING PROVIDER TAXONOMY: N/A
BILLING PROVIDER NAME: PROVIDER MEDICAL GROUP
BILLING PROVIDER NPI: 2366554859
BILLING PROVIDER ADDRESS: 123 MAIN STREET, KANSAS CITY, MO, 64105-1909
BILLING PROVIDER TIN: 756473826

SUBSCRIBER:
SUBSCRIBER NAME: MATTHEW J WILLIAMSON
SUBSCRIBER ID: 9YJ9TE1GP41
SUBSCRIBER ADDRESS: 123 RAINBOW ROAD, KANSAS CITY, MO, 64105
SUBSCRIBER DOB: 03/03/1954
SUBSCRIBER SEX: M

DESTINATION PAYER:
PAYER NAME: MEDICARE B
PAYER SECONDARY IDENTIFICATION: 05440

PATIENT:
Same as Primary Subscriber

CLAIM INFORMATION:
ORIGINAL CLAIM CREATION DATE: 01/12/2025
PROVIDER ASSIGNED CLAIM IDENTIFIER: 153829140764352987432
TOTAL CHARGES: $145.50
PLACE OF SERVICE CODE: 11
CLAIM FREQUENCY CODE: 1
INITIAL TREATMENT DATE: 01/12/2025
DATE OF LAST X-RAY: 01/12/2025

DIAGNOSIS CODE: M48.20

SERVICE LINE NUMBER:
PROCEDURE CODE: 98940
PROCEDURE MODIFIER: AT
LINE ITEM CHARGE AMOUNT: $145.50
UNIT OR BASIS FOR MEASURMENT CODE: UN
SERVICE UNIT COUNT: 1
EMERGENCY INDICATOR: N
EPSDT INDICATOR: N
FAMILY PLANNING: N
DATE OF SERVICE: 01/12/2025

Transmission Explanation

HEADER

ST*837*0001*008060X323~

ST TRANSACTION SET HEADER

BHT*0019*00*12345*20250112*1549*CH~

BHT BEGINNING OF HIERARCHICAL TRANSACTION

1000A SUBMITTER NAME

NM1*41*2*PROVIDER MEDICAL GROUP*****46*N305~

NM1 SUBMITTER NAME

PER*IC*NINA*TE*6155551212*EX*911~

PER SUBMITTER EDI CONTACT INFORMATION

1000B RECEIVER

NM1*40*2*MEDICARE B RECEIVER*****46*05440~

NM1 RECEIVER NAME

2000A BILLING PROVIDER

HL*1**20*1~

HL - BILLING PROVIDER HIERARCHICAL LEVEL

2010AA BILLING PROVIDER NAME

NM1*85*2*PROVIDER MEDICAL GROUP*****XX*2366554859~

NM1 BILLING PROVIDER NAME

N3*123 Main Street~

N3 BILLING PROVIDER ADDRESS

N4*KANSAS CITY*MO*641051909~

N4 BILLING PROVIDER LOCATION

REF*EI*756473826~

REF BILLING PROVIDER TAX IDENTIFICATION

2000B SUBSCRIBER HL LOOP

HL*2*1*22*0~

HL - SUBSCRIBER HIERARCHICAL LEVEL

SBR*P*18*******MB~

SBR SUBSCRIBER INFORMATION

2010BA SUBSCRIBER NAME LOOP

NM1*IL*1*WILLIAMSON*MATTHEW*J***MI*9YJ9TE1GP41~

NM1 SUBSCRIBER NAME

N3*123 RAINBOW ROAD~

N3 SUBSCRIBER ADDRESS

N4*KANSAS CITY*MO*64105~

N4 SUBSCRIBER CITY, STATE, ZIP

DMG*D8*19540303~

DMG SUBSCRIBER DEMOGRAPHIC INFORMATION

DMH*M*248152002~

DMH SUBSCRIBER EXTENDED DEMOGRAPHIC INFORMATION

2010BB PAYER NAME LOOP

NM1*PR*2*MEDICARE B~

NM1 PAYER NAME

REF*2U*05440~

REF PAYER SECONDARY IDENTIFICATION

2300 CLAIM INFORMATION

CLM*153829140764352987432*145.5***11:B:1*Y*A*Y*Y~

CLM CLAIM INFORMATION

DTP*523*D8*20250112~

DTP ORIGINAL CLAIM CREATION DATE

DTP*454*D8*20250112~

DTP INITIAL TREATMENT DATE

DTP*455*D8*20250112~

DTP LAST X-RAY DATE

CR2********A**CHRONIC PAIN AND DISCOMFORT~

CR2 SPINAL MANIPULATION SERVICE INFORMATION

HI*ABF:M4820~

HI DIAGNOSIS

2400 SERVICE LINE NUMBER

LX*1~

LX SERVICE LINE NUMBER

SV1*HC:98940:AT*145.5*UN*1***1***N**N*N~

SV1 PROFESSIONAL SERVICE

DTP*472*D8*20250112~

DTP SERVICE DATE/TIME

REF*6R*1~

REF LINE ITEM CONTROL NUMBER

TRAILER

SE*30*0001~

SE TRANSACTION SET TRAILER