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PA Promise TM PROVIDER HANDBOOK 837 INSTITUTIONAL/UB-04 CLAIM FORM Section 1 -- INTRODUCTION 1.1 Promise TM Provider Handbook for the 837 Institutional/UB-04 Provider Handbook 1.2 PA Promise TM Provider
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What is pa promise 837 ub?
PA Promise 837 UB is a standardized electronic claim submission format used for billing medical services under the Pennsylvania Medicaid program.
Who is required to file pa promise 837 ub?
Healthcare providers, such as hospitals, clinics, and doctors, who participate in the Pennsylvania Medicaid program are required to file pa promise 837 ub for billing their medical services.
How to fill out pa promise 837 ub?
To fill out pa promise 837 ub, healthcare providers need to enter relevant information about the patient, services rendered, diagnosis codes, and other required details in the designated fields of the electronic claim form.
What is the purpose of pa promise 837 ub?
The purpose of pa promise 837 ub is to standardize and streamline the electronic billing process for medical services provided under the Pennsylvania Medicaid program, ensuring accurate and timely payment to healthcare providers.
What information must be reported on pa promise 837 ub?
Pa promise 837 ub requires healthcare providers to report information such as patient demographics, procedure codes, diagnosis codes, service dates, provider information, and other relevant details necessary for the billing process.
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