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Welfare Health Plans, Inc. 837I Claims Data Transaction Guide WELL CARE EDI TRANSACTION SET 837I X12N HEALTH CARE CLAIM / ENCOUNTER INSTITUTIONAL ASC X12N (004010×096A1) Companion Guide Inbound 837
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837i WellCare is a standardized electronic format used for healthcare claims submission. It is specifically designed for institutional healthcare providers, such as hospitals and nursing homes, to report details of their services to WellCare, a healthcare insurance provider.
Institutional healthcare providers, including hospitals and nursing homes, are required to file the 837i WellCare format when submitting healthcare claims to WellCare.
Filling out the 837i WellCare format involves accurately inputting the necessary data fields, such as patient demographics, diagnosis codes, procedure codes, and financial information, according to the specifications provided by WellCare.
The purpose of the 837i WellCare format is to streamline the electronic submission of healthcare claims from institutional providers to WellCare. It allows for efficient processing and payment of claims, reducing paperwork and improving overall workflow.
The 837i WellCare format requires institutional healthcare providers to report various information, including patient demographics, dates of service, diagnosis codes, procedure codes, charges, and any relevant supporting documentation for the services provided.
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