Get the free 837I Claims Data Transaction Guide

This document serves as a transaction guide for the submission of institutional healthcare claims using the 837I format under WellCare Health Plans, providing detailed instructions and requirements

How to fill out 837i claims data transaction

How to fill out 837I Claims Data Transaction Guide

1. Gather necessary information: Ensure you have all patient demographics, provider information, and details of the services rendered.
2. Identify the correct claim type: Determine if the claim is for inpatient or outpatient services.
3. Complete the header section: Fill out the required fields in the header, including the billing provider's NPI and the claim's control number.
4. Provide patient information: Input the patient's insurance information, including subscriber ID, group number, and relationship to the insured.
5. Detail the service lines: For each service rendered, provide dates of service, procedure codes, and any relevant modifiers.
6. Add additional information: Include any necessary attachments, such as supporting documents or additional claims notes.
7. Review for accuracy: Double-check all entries to ensure there are no discrepancies or missing information.
8. Submit the claim: Use the appropriate electronic format or paper submission as required by the payer.

Who needs 837I Claims Data Transaction Guide?

1. Healthcare providers who bill for institutional services.
2. Hospitals and clinics submitting claims for reimbursement.
3. Billing professionals and coders responsible for processing claims.
4. Insurance payers requiring institutional claim submissions.

People Also Ask about

What is a 837 claim transaction?

The 837I is the standard format institutional providers use to submit health care claims electronically. Institutional providers include: ANSI ASC X12N 837I. The ANSI ASC X12N 837I Version 5010A2 is the current electronic claim version.

What is 837 claims data?

An 837 file is an electronic file that contains patient claim information. This file is submitted to an insurance company or to a clearinghouse instead of printing and mailing a paper claim.

What data is in an 837 claim file?

The 837 file includes insurance claim data. The complication is that 837 files may contain not just one claim but multiple from the hospital to the payer. The 837s will include information that details aspects of patients' treatment, including medical services provided, cost of treatment, and additional adjustments.

What is included in claims data?

Claims Data is Administrative Data Diagnoses, procedures or treatments, and length of visit are included because insurance companies use the information to process (or adjudicate) claims and determine who should be paid, and for what amount.

What are 837I claims?

The 837P Claim Form is a standardized electronic claim format used in the healthcare industry for submitting professional claims, such as physician services, to Medicare, Medicaid, and private insurance companies.

For pdfFiller’s FAQs

What is 837I Claims Data Transaction Guide?

The 837I Claims Data Transaction Guide is a standardized format used to submit institutional healthcare claims for payment to insurance payers, facilitating electronic claims submission and processing.

Who is required to file 837I Claims Data Transaction Guide?

Healthcare providers, such as hospitals and skilled nursing facilities, are required to file the 837I Claims Data Transaction Guide when submitting claims for institutional services provided to patients.

How to fill out 837I Claims Data Transaction Guide?

To fill out the 837I Claims Data Transaction Guide, providers must follow the specific guidelines outlined in the guide, including entering appropriate patient and services information, coding for diagnoses and procedures, and ensuring data is structured in compliance with the designated format.

What is the purpose of 837I Claims Data Transaction Guide?

The purpose of the 837I Claims Data Transaction Guide is to streamline the claims submission process, reduce paperwork, and enable quicker processing and payment of claims in the healthcare industry.

What information must be reported on 837I Claims Data Transaction Guide?

The 837I Claims Data Transaction Guide must report information including patient demographic details, billing provider information, admission and discharge dates, diagnosis and procedure codes, and information about the services rendered.