Skip to main content

837 Health Care Claim Institutional

  1. Last updated
  2. Save as PDF

Load, compile, and post an 837 Institutional file in myAvatar MSO.

  • Versions 4010, and 5010 of the 837 Institutional file are supported in myAvatar MSO 2011.
  • This form processes inbound 837 files.

 

  1. Go to: Avatar MSO > Claims Processing > 837 Health Care Claim Institutional
  2. In the Options field:
  • Select Load File to load the 837 file from the server.
    • If the 837 file has the same name as a loaded 837 file, a message displays.
    • Click Yes to load the 837 file and replace the existing file. Click No to cancel loading the 835 file.
    • The Dump report is generated, which displays the 837 Professional information in the file.
  • Select Compile File to compile a loaded 837 file.
    • When an 837 file is compiled, the 837 information is placed in associated SQL tables.
    • The Compile/Post report is generated which details 837P file, member and service information.
    • A dialog displays if the compile contains errors. Select Run Error Report to view the errors.
    • Click a claim status (Claim Status column) to display a claim details sub-report.
  • Select Run Report to generate the Compile/Post report.
  • Select Run Error Report to generate an error report for the file.
    The report details file errors that must be corrected to submit the 837P file.
  • Select Post File to post a compiled 837 file.
    • When the 837 file is posted, the file is edited to include the latest file information.
    • A separate batch is created for each funding source in the file.
  • Select Dump File to generate a text file of the compiled file.
  • Select Delete Loaded/Compiled File to delete an 837 file that has been loaded or compiled.
    • When an 837 file is deleted it can be compiled again through this form.
    • Posted files cannot be deleted.
  1. In the File Path/Name field, enter the file path and file name.
  2. In the Date Claims Received field, enter the date the claim was received.
    Note: Dates must be entered DDMMYY. Selecting T will input today’s date. Selecting Y will input yesterday’s date. Selecting the calendar icon allows you to choose the date from a calendar view.
  3. In the Select File field, select the file.

The following fields narrow down the files that will be acted on.

  1. In the Contracting Provider field, enter the associated provider, and select.
  2. In the Start Date field, enter the start date.
  3. In the End Date field, enter the end date.
  4. Click Process.
► SQL Tables
  • SYSTEM.batch_clm_service_detail
► Registry Settings