EDI Claim File Indicators

An EDI Claim file indicator is a code transmitted on an EDI/837 Claim file that tells the payer whether the primary insurance is Medicare or another commercial payer.


It is included on all electronic 837P (professional claims) and 837I (institutional claims) claim files in Loop 2000B, segment SBR09. They are not required or included on paper claims.


Here is a list of common file indicators: