HIPAA requires type‑of‑service codes, but Blue Cross NC doesn’t. How should I submit a professional 837 so it processes correctly?

If a segment or data element is required by the HIPAA Implementation Guide, you must include it in your 837 Professional claim – even if we don’t use that data for claim processing.

To ensure your claim passes HIPAA compliance edits, include the required type‑of‑service codes when submitting your 837 Professional claims. Claims that are missing required HIPAA elements may fail Implementation Guide edits and won’t process correctly.