Health Care Claim Institutional (837I) and Health Care Claim Professional (837P) are examples of which HIPAA standard?

• A. Privacy Notice Requirement
• B. Breach Notification Standard
• C. Security Standard
• D. Health Care Claim Institutional (837I) and Health Care Claim Professional (837P) Are Standard Transaction Standards

Answer: (D)

HIPAA standard transactions define the common formats used to exchange health care data electronically. Health Care Claim Institutional (837I) and Health Care Claim Professional (837P) are the specific formats used to submit claims electronically to payers—the institutional and professional claim types, respectively. They are part of the standard transaction set designed for interoperability between providers, clearinghouses, and insurers. This isn’t about privacy notices, breach notifications, or the security safeguards themselves; those areas cover protecting PHI rather than the data formats used for claim submissions. Using these standard transactions helps ensure claims are processed consistently and efficiently across different systems.