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Contracting Provider/Funding Source 835 Defaults

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Define information that will populate 835 files, for contracting providers and their associated funding sources.

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  • The information is used to create the outbound 835 file through the 835 Health Care Claim Payment/Advice form.

  • The information collected here provides the 835 electronic remittance file with the default Contracting Provider and Funding Source information that is needed to create the outbound 835 file through the 835 Health Care Claim Payment/ Advice form

  1. In the Contracting Provider field, select the contracting providers.

  2. In the Funding Source field, select the funding sources.

  3. Click Print Funding Source/Contracting Provider 835 Defaults to generate a report that details 835 default information for the contracting provider and funding source.

  4. When finished, click Submit.

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