Section title: Requests for Interpretation
RFI #
2056
EAPG in 837 I
Description

We have a need to receive the EAPG in the 837 Institutional for outpatient claims. There is an HI segment with an AX qualifier in the standard but it isn't used in the current x223 version. What other segment would X12 suggest could be used until such time as the HI*AX is available?

I found RFIs 1794 and 1935 but both of these deal with the EAPG on the 835 not on the 837.

RFI Response

The current version of the 837 institutional claim does not support the submission of the EAPG.

A change request was filed to add the EAPG to a future version of the guide however the change is not yet complete.

DOCUMENT ID
005010X223A2