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2006 Revised American National Standards Institute X12N 837 Institutional Health Care Claim Companion Document

The current inbound 837 Institutional companion document language is being revised to implement additional language to cover new initiatives such as the National Provider Identifier (NPI). The summary of changes to the document is: 1) Addition of a new statement indicating "The National Provider Identifier (NPI) must be submitted in the NM109 segment (NM108 = XX)"; 2) Revision to the code set statement providing an updated URL for Washington Publishing Company code sets; 3) Addition of a LIN03 statement "The format for National Drug Codes (NDC) is 5- 4-2. Claims that contain NDC codes in any other format will be rejected".

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: March 31, 2006

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.