X12 837 Document

Base URL https://quality.rosetta.careevolution.com/v1/Extensions/X12ParsingSummary/X12_837_Document
Issue System URL https://quality.rosetta.careevolution.com/v1/CodeSystems/X12ParsingSummary
Issue System Code X12_837_Document
Code / URL Type Description
TotalUniqueBillingProviderIds integer The number of distinct billing provider identifiers across all claims in the document
TotalSubscribers integer The total number of subscriber loops (2010BA). This is a loop count, not a distinct-patient count.
TotalUniquePayers integer The number of distinct payer identifiers across all claims in the document
TotalDependents integer The total number of dependent patient loops (2010CA). This is a loop count, not a distinct-patient count.
TotalClaims integer The total number of claim loops (2300)
TotalServiceLines integer The total number of service line loops (2400)
TotalUniquePatientsWithClaims integer The number of distinct resolved patient identities that have at least one claim. Patient identity is resolved per claim from dependent loop 2010CA when 2000C is present, otherwise from subscriber loop 2010BA.
TotalUniquePatientsPerServiceDate integer The number of distinct resolved patient and service-date combinations. This reflects encounter-like claim touchpoints (patient care-days), not a canonical clinical encounter count.
TotalUniqueProceduresPerPatientPerServiceDate integer The aggregate count of distinct procedure codes within each resolved patient and service-date combination. This reflects billed service intensity per patient care-day.
TotalUniqueDiagnosisCodesPerPatient integer The aggregate count of distinct diagnosis codes per resolved patient across claims. This reflects diagnosis-code breadth used in claim submission, not a complete clinical problem or comorbidity profile for the patient.
TotalUniqueDrugIdentificationServiceIdsPerPatient integer The aggregate count of distinct drug identification service ID composites (LIN02|LIN03, where LIN02 is the code qualifier and LIN03 is the identifier) per resolved patient from service line 2410 loops. This reflects medication-related coding breadth in submitted claims, not a complete medication list or medication history for the patient.
ByTransactionPurpose quantity A frequency distribution of transaction purpose codes (BHT02) across transactions. Each entry represents a distinct BHT02 value and the count of transactions having that value. All values for a single document can be used to construct a histogram.
BySubmitter quantity A frequency distribution of submitter identifiers and names from 1000A loop NM1 segment (composite format NM109|NM103). Each entry represents a distinct submitter (formatted as 'identifier|name') and the count of transactions from that submitter. All values for a single document can be used to construct a histogram.
ByReceiver quantity A frequency distribution of receiver identifiers and names from 1000B loop NM1 segment (composite format NM109|NM103). Each entry represents a distinct receiver (formatted as 'identifier|name') and the count of transactions to that receiver. All values for a single document can be used to construct a histogram.