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Instructions on Submitted Share of Cost Information for 837I Transactions

September 11, 2012

Providers who are submitting 837I (institutional) transactions in the 5010 format should use the HI value information segment in loop 2300 of the 005010X223A2 with a qualifier of BE and value code of FC to report Share of Cost (SOC) information.

Many providers are reporting that the SOC is not being deducted from 837I claims, and this is due to the way the information is being submitted. Please correct this immediately for all 837I transactions.

Providers who have submitted electronic claims in the 5010 format, where the SOC was not deducted, should void these claims and resubmit them in the correct format. For more information, providers can call the Telephone Service Center (TSC) at 1-800-541-5555, choose option 4 for the Technical Help Desk and then choose option 2 for the Computer Media Claims (CMC) Help Desk.