Funding Source/Contracting Provider Reporting Defaults

Define information that will populate the 837 Institutional and Professional files, for contracting providers and their associated funding sources.

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• This information is used to create the outbound 837 file through the 837 Outbound Processing form.

• The most recent information can overwrite earlier entries for the same fields.

1. In the Funding Source field, select the funding source.

2. In the Contracting Provider field, select the contracting provider.

3. Click Print Funding Source/Contracting Provider Defaults to generate the Funding Source/Contracting Provider Reporting Defaults report that details information entered in this form.

4. When finished, click Submit.