Get the free PacifiCare Electronic Data Interchange 837 Transaction Companion Guide
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This document serves as a guide for the 837 Institutional Transaction Set, detailing submission requirements, communication methods, processing rules, and error handling protocols necessary for compliance
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How to fill out pacificare electronic data interchange
How to fill out PacifiCare Electronic Data Interchange 837 Transaction Companion Guide
01
Obtain the PacifiCare Electronic Data Interchange 837 Transaction Companion Guide.
02
Review the guide to understand the structure and required segments of the 837 transaction.
03
Gather the necessary patient and claim data required for submission.
04
Follow the format specified in the guide for each segment, ensuring accurate data entry.
05
Validate the data against the guide's specifications to avoid errors.
06
Complete the 837 transaction file based on your system's requirements.
07
Submit the completed 837 file through the designated electronic submission channel outlined in the guide.
08
Monitor the submission for confirmation of receipt and any potential errors.
Who needs PacifiCare Electronic Data Interchange 837 Transaction Companion Guide?
01
Healthcare providers submitting claims to PacifiCare.
02
Billing departments within healthcare organizations managing claim submissions.
03
Software vendors developing systems for electronic claims processing for PacifiCare.
04
Clearinghouses that handle the transmission of claims to PacifiCare.
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People Also Ask about
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 EDI transaction type 837?
The EDI 837 Healthcare Claim transaction set is used to submit healthcare medical claims, encounter information, billing information or both, from healthcare services providers to payers.
What does companion guide mean?
Companion Guides (CGs) may contain two types of data, instructions for electronic communications with the publishing entity (Communications/Connectivity Instructions) and supplemental information for creating transactions for the publishing entity while ensuring compliance with the associated ASC X12 IG (Transaction
What is a companion guide?
Companion Guides are designed to reinforce online course material, helping students focus on important concepts and organize their study time for quizzes and exams.
What is the purpose of a companion guide?
Companion Guides are designed to reinforce online course material, helping students focus on important concepts and organize their study time for quizzes and exams.
What is an 834 companion guide?
This Companion Guide to the ASC X12 Benefit Enrollment and Maintenance (834) transaction, based on the 005010X220A1 addenda adopted under HIPAA specifies the data format and content requirements for electronic data interchange between Washington Health Benefit Exchange (HBE) and participating carriers.
What does an EDI support do?
Use of EDI transactions allows a provider to submit transactions faster and be paid for claims faster, and to accomplish this at a lower cost than is generally the case for paper or manual transactions.
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What is PacifiCare Electronic Data Interchange 837 Transaction Companion Guide?
The PacifiCare Electronic Data Interchange 837 Transaction Companion Guide is a document that provides detailed instructions and specifications for submitting electronic claims for health care services to PacifiCare using the 837 transaction format.
Who is required to file PacifiCare Electronic Data Interchange 837 Transaction Companion Guide?
Healthcare providers, suppliers, and any organizations that submit electronic claims for reimbursement to PacifiCare are required to file the PacifiCare Electronic Data Interchange 837 Transaction Companion Guide.
How to fill out PacifiCare Electronic Data Interchange 837 Transaction Companion Guide?
To fill out the guide, users should carefully follow the step-by-step instructions provided, detailing how to input patient information, service details, and billing information in the specified 837 transaction format.
What is the purpose of PacifiCare Electronic Data Interchange 837 Transaction Companion Guide?
The purpose of the PacifiCare Electronic Data Interchange 837 Transaction Companion Guide is to ensure uniformity and accuracy in the submission of electronic healthcare claims, facilitating efficient processing and reimbursement.
What information must be reported on PacifiCare Electronic Data Interchange 837 Transaction Companion Guide?
The information that must be reported includes patient demographic details, provider identification, service codes, diagnosis codes, and any other relevant billing information as required by PacifiCare.
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