Get the free 837P Professional Health Care Claim (PDF, 447 KB) - nctracks nc

North Carolina Department of Health and Human Services (NCD HHS) Division of Medical Assistance (MA) Division of Mental Health (DM) Division of Public Health (DPH) Standard Companion Guide Transaction

How to fill out 837p professional health care

How to fill out 837p professional health care:

1. Start by gathering all the necessary information and documentation required for completing the form, such as patient demographics, insurance information, and medical billing codes.
2. Begin filling out the top section of the form, which includes details about the provider, such as the name, address, and contact information. Make sure to double-check the accuracy of this information.
3. Move on to the patient information section, where you will need to provide the patient's name, address, date of birth, and other relevant demographics. Ensure that all the information is entered correctly.
4. Proceed to the insurance information section, where you will need to enter the patient's insurance details, including insurance carrier name, policy number, and group number. If there are multiple insurance providers, provide the primary and secondary insurance information accordingly.
5. Next, fill out the diagnosis codes section, where you will enter the relevant ICD-10 codes that correspond to the patient's medical condition or reason for seeking healthcare services. Consult the appropriate code references to ensure accuracy.
6. In the procedure codes section, input the CPT or HCPCS codes that reflect the specific healthcare services performed or the procedures carried out during the visit. Make sure to include the corresponding dates and units for each procedure.
7. Provide any necessary additional information or documentation required by the insurance company, such as prior authorization numbers or documentation for specific services rendered.

Once all the relevant sections of the 837p professional health care form are accurately completed, review the information for any errors or omissions. Double-check the details provided before submitting the form to ensure prompt reimbursement and claims processing.

Who needs 837p professional health care?

1. Healthcare providers, including physicians, hospitals, clinics, and other healthcare entities, use the 837p professional health care form to submit claims for reimbursement to health insurance companies or government health programs.
2. Medical billing professionals or billers who are responsible for accurately completing and submitting healthcare claims also need to be familiar with the 837p form.
3. Health insurance companies use the information provided in the 837p professional health care form to process claims, determine coverage, and reimburse healthcare providers for the services rendered.

Overall, anyone involved in the healthcare billing and claims process, including providers, billers, and insurance companies, needs to be well-versed in filling out the 837p professional health care form accurately and efficiently to ensure timely reimbursement and appropriate claims processing.

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What is 837p professional health care?

837p professional health care is a standard electronic format for submitting healthcare claims.

Who is required to file 837p professional health care?

Healthcare providers and suppliers who need to submit claims to payers are required to file 837p professional health care.

How to fill out 837p professional health care?

837p professional health care forms can be filled out electronically using healthcare billing software that supports the format.

What is the purpose of 837p professional health care?

The purpose of 837p professional health care is to streamline the submission of healthcare claims and reduce administrative costs.

What information must be reported on 837p professional health care?

837p professional health care must include patient information, provider details, diagnosis codes, procedure codes, and billing information.