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This document serves as a companion guide to the 835 Health Care Claim Payment/Advice, detailing instructions specific to Utah Medicaid for electronic remittance advice as per HIPAA requirements.
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How to fill out 835 remittance companion guide

How to fill out 835 REMITTANCE COMPANION GUIDE
01
Obtain the 835 Remittance Companion Guide from your payer or clearinghouse.
02
Review the document to understand its structure and purpose.
03
Identify the required fields in the 835 transaction, such as payer details, patient information, claim numbers, and payment amounts.
04
Fill out the header section with appropriate payer and transaction details.
05
Complete the detail section with claim-specific information, ensuring accuracy in payment amounts and adjustments.
06
Double-check for any required notes or additional information that may need to be included according to your payer's specifications.
07
Submit the completed 835 Remittance document to the appropriate department or system for processing.
Who needs 835 REMITTANCE COMPANION GUIDE?
01
Healthcare providers who receive payments for services rendered.
02
Billing and coding professionals responsible for managing claim-related information.
03
Insurance companies that handle remittance for claims.
04
Clearinghouses that process electronic transactions between payers and providers.
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People Also Ask about
What is the 835 code in medical billing?
An 835 claim file is the format that insurance organizations send back to healthcare providers. To put it simply… In other words, an 837 is a bill and an 835 is a receipt. Sometimes 835 claims are also called Electronic Remittance Advice (ERA).
What is an EDI companion guide?
Our Electronic Data Interchange (EDI) Companion Guides describe specific requirements for trading partners who exchange electronic transactions directly with Blue Shield of California Promise Health Plan (not through a vendor or clearinghouse).
What is the HIPAA 835 format?
The 835 Transaction Set Header contains general information about the claim payment, such as Payee,Amount,Payer,Payment method, and Trace Number. The following table explains the header segments and data elements that require specific information for SummaCare processing.
What is an 835 Remittance Advice?
Electronic Remittance Advice (ERA) or 835 file is the electronic remittance describing the payer, payee, payment amount, and other identifying information about the payment.
What is the standard 835 file format?
The ANSI 835 file format is a widely used standard for electronic healthcare payment and remittance advice transactions. It follows a specific structure for organizing payment and remittance data, making it efficient and reliable for healthcare providers and payers.
What is the format of 835 and 837?
An EDI 834 file includes member enrollment details such as personal information, selected health plans, and dependent coverage. What is EDI 835? EDI 835 is a transaction set for Healthcare Claim Payment and Remittance Advice.
How do I read an 835 electronic remittance file?
Read ERA 835s from Payors 1 Open the Electronic Remittance Advice Tool and Find an ERA. 2 Review ERA Details and Processing Summary. 3 Review the Autopost Processing Summary. 4 Review Specific Claim Response Details. 4.1 Claim Identifiers. 5 Work on Claim Responses that May Require Additional Attention. 6 Delete an ERA.
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What is 835 REMITTANCE COMPANION GUIDE?
The 835 Remittance Companion Guide is a document that provides detailed information on how to interpret, create, and transmit an 835 Electronic Remittance Advice (ERA) file according to industry standards.
Who is required to file 835 REMITTANCE COMPANION GUIDE?
Health care providers, insurers, and clearinghouses that engage in electronic transactions related to healthcare payments and are required to comply with HIPAA regulations must file and use the 835 Remittance Companion Guide.
How to fill out 835 REMITTANCE COMPANION GUIDE?
To fill out the 835 Remittance Companion Guide, users should follow the instructions provided in the guide for the specific fields of the 835 file format, ensuring that required data elements such as provider information, claim details, and payment amounts are correctly entered.
What is the purpose of 835 REMITTANCE COMPANION GUIDE?
The purpose of the 835 Remittance Companion Guide is to assist stakeholders in understanding the structure, data format, and guidelines for accurately processing electronic remittance advice transactions.
What information must be reported on 835 REMITTANCE COMPANION GUIDE?
The 835 Remittance Companion Guide must report information including payer identification, payment amounts, claim status, adjustment codes, and any necessary remarks regarding the transaction.
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