Get the free NJShore / DOBI 837I Companion Document - state nj
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This document outlines the specifications and recommendations for the 837I transaction set per the NJ HINT Implementation Task Force, including guidelines for electronic claims submissions to various
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How to fill out njshore dobi 837i companion
How to fill out NJShore / DOBI 837I Companion Document
01
Obtain the NJShore / DOBI 837I Companion Document template from the official website.
02
Read the instructions provided on the template to understand the required fields.
03
Fill out the provider information, including name, address, and contact details.
04
Enter the patient information, including their name, date of birth, and insurance details.
05
Fill in the service codes and descriptions for the medical services provided.
06
Include the total charges and any applicable adjustments or payments.
07
Review the document for accuracy and completeness before submission.
08
Submit the completed document according to the guidelines provided on the website.
Who needs NJShore / DOBI 837I Companion Document?
01
Healthcare providers that bill for services rendered to patients in New Jersey.
02
Insurance companies that process claims for medical services in the state.
03
Billing professionals who handle claims submissions on behalf of healthcare providers.
04
Any entity involved in the electronic processing of claims related to healthcare services.
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What is NJShore / DOBI 837I Companion Document?
The NJShore / DOBI 837I Companion Document is a set of guidelines and specifications that outlines how to prepare and submit medical claims electronically in New Jersey, specifically for services billed under the 837I format for institutional claims.
Who is required to file NJShore / DOBI 837I Companion Document?
Healthcare providers and organizations that submit institutional claims for reimbursement to New Jersey Medicaid or other related programs are required to file the NJShore / DOBI 837I Companion Document.
How to fill out NJShore / DOBI 837I Companion Document?
To fill out the NJShore / DOBI 837I Companion Document, providers must follow the specified format and requirements set forth in the companion document, including proper coding, required fields, and data formatting as indicated for each claim being submitted.
What is the purpose of NJShore / DOBI 837I Companion Document?
The purpose of the NJShore / DOBI 837I Companion Document is to standardize the electronic submission of institutional claims, ensuring accuracy, consistency, and compliance with state and federal regulations, thereby facilitating efficient processing and payment.
What information must be reported on NJShore / DOBI 837I Companion Document?
The information that must be reported on the NJShore / DOBI 837I Companion Document includes patient demographics, service dates, procedure codes, diagnosis codes, facility information, and billing amounts, along with any supplemental information required by New Jersey Medicaid.
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