837D, 837I, 837P Health Care Claim

837 documents will split as low as the 2300 loop. They do not split at the 2400 loop.

Subscriber as Patient

Loop or Element

Description

2000A

Billing/Pay-to Provider Hierarchical Level (HL)

2000B

Subscriber Hierarchical Level (HL)

2300

Claim Information (CLM)

Dependent as Patient

Loop or Element

Description

2000A

Billing/Pay-to Provider Hierarchical Level (HL)

2000B

Subscriber Hierarchical Level (HL)

2000C

Patient Hierarchical Level (HL)

2300

Claim Information (CLM)