Get the free N.C. DMA : 837 Professional Companion Guide Specifications - ncdhhs

HIPAA Companion Guide Specifications TEN 837 Health Care Claim (Professional) Version 2.1 May 1, 2009, Prepared By: EDS ? HT SCS NC Medicaid Companion Guide Specifications to TEN 837 Companion Guide

How to fill out nc dma 837 professional

How to fill out nc dma 837 professional:

1. Gather all necessary information, such as patient demographics, insurance information, and procedure codes.
2. Start by entering the patient's personal information, including their name, address, date of birth, and Social Security number.
3. Proceed to input the insurance details, such as the name of the insurance company, policy number, and group number.
4. Next, indicate the services provided by entering the procedure codes and corresponding dates of service.
5. Make sure to accurately document any additional information required, such as prior authorization numbers or referral details.
6. Review the completed form for any errors or missing information before submission.

Who needs nc dma 837 professional:

1. Healthcare providers who offer services to patients covered by North Carolina's Division of Medical Assistance (DMA) program.
2. Providers who bill for their services and need to submit claims to the DMA for reimbursement.
3. Any medical facility or practitioner that participates in the DMA program and is required to follow its billing guidelines and procedures.

People Also Ask about

How do I find my NC Medicaid number?

If you need to use your medical, pharmacy, mental health or substance use benefits before you get your Medicaid card, please call Member Services at 1-855-375-8811 (TTY 1-866-209-6421). We will give you your member ID number.

What is North Carolina Medicaid called?

Called "NC Medicaid Managed Care," beneficiaries choose a health plan and get care through a health plan's network of doctors. Some beneficiaries are remaining in traditional Medicaid, which is called NC Medicaid Direct.

How do I contact NC Medicaid customer service?

To learn more about NC Medicaid Direct, call the NC Medicaid Contact Center at 1-888-245-0179.

What is a Carolina Access provider?

Carolina ACCESS is a managed care program that provides a more efficient and effective healthcare system for Medicaid recipients. This program links Medicaid recipients with a primary care provider who delivers and coordinates their health care needs.

What is the timely filing limit for Medicaid in NC?

Medicaid claims, except inpatient claims and nursing facility claims, must be received by NCTracks within 365 days of the first date of service to be accepted for processing and payment. Medicaid hospital inpatient and nursing facility claims must be received within 365 days of the last date of service on the claim.

What is Carolina access?

Carolina Access (CA). CA is an option for comprehensive managed care that directs Medicaid recipients to primary-care doctors or clinics that can best serve all their needs. CA helps find Medicaid recipients “health care homes.” With CA, recipients also have 24-hour access to medical advice and emergency treatment.

For pdfFiller’s FAQs

What is nc dma 837 professional?

The nc dma 837 professional is an electronic claim form used by healthcare providers to submit professional medical billing information to the North Carolina Department of Medical Assistance (DMA).

Who is required to file nc dma 837 professional?

Healthcare providers who are participating in the North Carolina Medicaid program and submit professional medical billing information are required to file the nc dma 837 professional.

How to fill out nc dma 837 professional?

The nc dma 837 professional form can be filled out electronically using healthcare billing software or manually by providing all necessary information including patient demographics, diagnosis codes, procedure codes, and payment details.

What is the purpose of nc dma 837 professional?

The purpose of nc dma 837 professional is to streamline and automate the submission of professional medical billing information to the North Carolina Department of Medical Assistance, ensuring accurate and timely processing of claims.

What information must be reported on nc dma 837 professional?

The nc dma 837 professional requires reporting of patient demographics, provider information, dates of service, diagnosis codes, procedure codes, billing amounts, and any additional supporting documentation.

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