Office Administrative Assistant Practice Exam

The electronic version of the Institutional claim is:

1. 837-2

2. 837-1

3. 837-P

4. 837-I

The correct answer is: 837-1

The correct response is particularly significant as it pertains to the format used for electronic claims submission in the healthcare industry. The institutional claim, often associated with billing hospital services, utilizes the 837 Institutional format. This format is specifically designed for healthcare facilities, such as hospitals or skilled nursing facilities, to report services rendered to patients. The 837-I form, or Institutional Claim form, facilitates the transmission of billing information from the provider (e.g., hospitals) to payers (e.g., insurance companies). This standardized electronic format ensures that all necessary clinical, demographic, and financial data is accurately captured and conveyed for the purpose of claims processing and payment. Other options, such as the 837-P (Professional Claim) form, are used for claims related to professional healthcare providers, like individual physicians or practitioners, rather than institutional facilities. Therefore, recognizing the specific applicability of the 837-I is crucial when differentiating between the various claim formats used in the healthcare billing process. Understanding this can enhance accurately processing claims and ensuring timely reimbursement for services rendered, which is essential for the smooth operation of healthcare administrative functions.