Document - HIPAA 837 to Excel


For Desktop Application

HIPAA 837 to Excel


For Automated Batch Application

HIPAA 837 to Excel Batch


For Server Application

HIPAA 837 to Excel Command Line Program


837 Data Mappings


837P Data Mapping

Exported Name 837 Loop Segment Data Element-Sub Data
Billing Provider Loop 2000A
Billing Provider Name 2010AA NM1 03,04
Subscriber Loop 2000B
Subscriber Name 2010BA NM1 03,04
Subscriber ID, Member Identification Number 2010BA NM1 09
Patient Loop 2000C
Patient Name, First and Last Name 2010CA NM1 03,04
Relationship Code, related to Insured person 2010C PAT 01
Claims, Loop 2300
Control Number, Patient Control Number or Claim Number 2300 CLM 01
Total Charge, Total Claim Charged Amount 2300 CLM 02
ICD 1 .. ICD 8, Diagnostic Codes, ICD-9 or ICD-10 2300 HI 01-2 .. 08-2
Service Lines, Loop 2400
Line Number 2400 LX 01
Proc Code Q, Procedure Code Qualifier for HCPCS or others 2400 SV1 01-1
Proc Code, Procedure Code, HCPCS or others 2400 SV1 01-2
M1 .. M4, Procedure Modifier 1 .. 4 2400 SV1 01-3 .. 01-6
Charged, Line Item Charge Amount 2400 SV1 02
Service Date, Qualifier=472 2400 DTP 03
Line Adjudication Information, Loop 2430
Adjudication other payer ID, Other Payer Primary Identification 2430 SVD 01
Amount Paid, Service Line Paid Amount 2430 SVD 02
Proc Code, Procedure Code used to pay the service line 2430 SVD 03-2
Paid Unit, Paid Service Unit Count 2430 SVD 05
Patient Liability, Qualifier=EAF, Remaining Patient Liability 2430 AMT 02
Adjustment Group 1 .. 4, Claim Adjustment Group Code, repeated in same segment 2430 CAS 01
Reason 1 .. 4, Claim Adjustment Reason Code 1 .. 4 2430 CAS 02,05,08,11
Amount 1 .. 4, Claim Adjustment Amount 1 .. 4 2430 CAS 03,06,09,12


837I Data Mapping

To be defined


837D Data Mapping

To be defined