Get the free CalPERS HIPAA Transaction Set Standard Dental Companion Guide - calpers ca

This companion guide assists carriers by providing information that CalPERS supplies for the Benefit and Enrollment transaction (834) under HIPAA guidelines. It details the data content to be sent

How to fill out calpers hipaa transaction set

How to fill out CalPERS HIPAA Transaction Set Standard Dental Companion Guide

1. Review the CalPERS HIPAA Transaction Set Standard Dental Companion Guide document for an overview.
2. Identify the specific dental transaction sets you will be working with, such as claims, eligibility inquiries, and payment remittance.
3. Gather all necessary patient and provider information required for the transaction.
4. Follow the step-by-step instructions provided in the guide for filling out each section of the transaction set.
5. Ensure that all data elements comply with HIPAA standards and CalPERS requirements, including specific codes and formats.
6. Double-check all entries for accuracy before submission, including insurance policy numbers and patient identifiers.
7. Submit the completed transaction set to CalPERS using the preferred electronic methods outlined in the guide.
8. Monitor for any acknowledgments or responses from CalPERS regarding the submitted transactions.

Who needs CalPERS HIPAA Transaction Set Standard Dental Companion Guide?

1. Dental providers and practices who participate in CalPERS programs.
2. Billing and coding professionals responsible for submitting dental claims.
3. Office administrators managing dental insurance policies and patient records.
4. Healthcare professionals requiring compliance with HIPAA standards for patient information.
5. Any stakeholders involved in processing dental transactions for CalPERS members.

People Also Ask about

What is a 837 transaction in HIPAA?

The HIPAA transactions and code set standards are rules to standardize the electronic exchange of patient-identifiable, health-related information. They are based on electronic data interchange (EDI) standards, which allow the electronic exchange of information from computer to computer without human involvement.

Which HIPAA standard transaction has three types, professional, institutional, and dental?

The 5010 standards divide the 837 transaction set into three groups, as follows: 837P for professionals, 837I for institutions and 837D for dental practices.

What are the HIPAA standard transactions?

X12 HIPAA is the common name for the set of specifications businesses use to transmit healthcare transactions in the United States. A transaction is an electronic exchange of information between two parties to carry out financial or administrative activities related to healthcare.

What are the HIPAA X12 transactions?

The 835 (Remittance Advice) and 837 (Claims) file formats, key components of Electronic Data Interchange (EDI) in healthcare, were developed to standardize and streamline the exchange of critical financial and clinical information between healthcare providers and payers.

What is payer ID 610442?

California Medicaid. STATE OF CALIFORNIA - DEPARTMENT OF HEALTH CARE SERVICES. California Medicaid MediCal. Medi-Cal. 610442.

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What is CalPERS HIPAA Transaction Set Standard Dental Companion Guide?

The CalPERS HIPAA Transaction Set Standard Dental Companion Guide is a document that provides detailed instructions and guidelines for organizations participating in the California Public Employees' Retirement System (CalPERS) dental benefits program. It outlines the standards for electronic transactions related to dental claims and necessary data requirements.

Who is required to file CalPERS HIPAA Transaction Set Standard Dental Companion Guide?

Entities that are participants in the CalPERS dental benefits program, such as dental care providers, insurance companies, and clearinghouses processing dental claims, are required to adhere to the CalPERS HIPAA Transaction Set Standard Dental Companion Guide.

How to fill out CalPERS HIPAA Transaction Set Standard Dental Companion Guide?

To fill out the CalPERS HIPAA Transaction Set Standard Dental Companion Guide, participants must follow the structured format provided within the guide, ensuring all required fields are completed accurately. This includes entering patient information, provider details, claim specifics, and adhering to the Electronic Data Interchange (EDI) standards outlined in the guide.

What is the purpose of CalPERS HIPAA Transaction Set Standard Dental Companion Guide?

The purpose of the CalPERS HIPAA Transaction Set Standard Dental Companion Guide is to ensure that all electronic transactions related to dental claims are processed efficiently, accurately, and in compliance with HIPAA regulations. It helps standardize data exchanged between providers and insurance carriers.

What information must be reported on CalPERS HIPAA Transaction Set Standard Dental Companion Guide?

The information that must be reported on the CalPERS HIPAA Transaction Set Standard Dental Companion Guide includes patient identification details, dental procedure codes, dates of service, provider information, billing amounts, and any other required data necessary for processing dental claims.