Which dataset is utilized by hospitals to electronically submit claims to the payer?

The 837I form is specifically designed for institutional claims submission, which is the reason it is used by hospitals to electronically submit claims to payers. This standard format allows institutions, like hospitals and skilled nursing facilities, to report various medical services, procedures, and accommodations provided to patients.

The 837I format encompasses a wide range of information necessary for accurate billing, including patient demographics, diagnoses, procedures, and charges. This standardization is critical because it ensures that claims are submitted in a consistent manner, facilitating the processing and adjudication by payers.

While other forms, such as the CMS-1500, are used for professional services provided by individual practitioners, and the 837P is like the 837I but tailored for professional claims, they do not apply specifically to hospitals submitting institutional claims. The Billing Information Dataset is less recognized and does not represent the standardized electronic format required for claims submission. Thus, the 837I is indeed the correct choice for this context.