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This document serves as a draft rule describing the proposed data content and transaction specific information for health care claims under the ASC X12/005010X222A1 standard, applicable to entities
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How to fill out Minnesota Uniform Companion Guide for the ASC X12/005010X22A1 Health Care Claim: Professional (837)

01
Obtain a copy of the Minnesota Uniform Companion Guide.
02
Review the specifications for the ASC X12/005010X22A1 format to understand the requirements.
03
Fill in the header section, including submitter information and receiver details.
04
Complete the patient information, ensuring all necessary identifiers are included.
05
Enter the provider details, including National Provider Identifier (NPI) and other identifiers as required.
06
Input line item details for each claim, adhering to the specified data elements.
07
Verify grouping of claims if submitting multiple claims in one file.
08
Include any required attachments as outlined in the guide.
09
Review the submission for errors or missing information before transmission.
10
Submit the formatted claim to the appropriate payer using established electronic methods.

Who needs Minnesota Uniform Companion Guide for the ASC X12/005010X22A1 Health Care Claim: Professional (837)?

01
Health care providers submitting professional claims in Minnesota.
02
Health care billing staff tasked with processing claims electronically.
03
Insurance companies receiving electronic health care claims.
04
Organizations that require compliance with state-specific claims submission guidelines.
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People Also Ask about

EDI 837 Specification This transaction set can be used to submit healthcare medical claims, billing information, encounter information, or both, from providers of healthcare services to payers, either directly or via intermediary billers and claims clearinghouses.
HIPAA X12 is a set of X12 transactions used within the Healthcare industry to exchange data about health insurance claims and payments. Support for reading, processing and writing all of the legally mandated HIPAA transactions is provided as part of the IBM® Integration Bus Healthcare Pack .
The 837P format standardizes healthcare claims, creating a seamless interaction between healthcare providers and insurance payers. Benefits include: Reduced Errors: Eliminates misinterpretations of handwritten information. Faster Claim Processing: Enhances efficiency in insurance approvals and reimbursements.
The ASC X12 837 Health Care Claim: Professional and associated addenda define the transaction for electronically transmitting professional claims or equivalent encounters, including coordination of benefits information in ance with the Health Insurance Portability and Accountability Act (HIPAA).
An 837 file is an electronic file that contains patient claim information. This file is submitted to an insurance company or to a clearinghouse instead of printing and mailing a paper claim. The data in an 837 file is called a Transaction Set.
The ASC X12 837 Health Care Claim: Professional and associated addenda define the transaction for electronically transmitting professional claims or equivalent encounters, including coordination of benefits information in ance with the Health Insurance Portability and Accountability Act (HIPAA).

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The Minnesota Uniform Companion Guide for the ASC X12/005010X22A1 Health Care Claim: Professional (837) provides detailed instructions and requirements for the electronic submission of professional health care claims using the ASC X12 837 file format, ensuring compliance with Minnesota regulations and facilitating smoother claim processing.
Health care providers who submit professional claims electronically to Minnesota's Medicaid program, as well as other healthcare payers that require this format, are required to file using the Minnesota Uniform Companion Guide.
To fill out the guide, providers must follow the specified formats and data requirements outlined in the companion guide, including sections on patient information, provider details, claim entries, and billing specifics. Each data element must be accurately completed to ensure successful submission.
The purpose of the guide is to standardize the electronic submission process for health care claims, ensuring accurate and efficient claim processing, reducing errors, and enhancing communication between providers and payers.
The information that must be reported includes patient demographics, provider identification, claim details (such as service dates and procedure codes), payment information, and additional relevant data as specified in the guide to ensure the claim is complete and compliant.
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