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TRI CARE HIPAA Transaction Standard Companion Guide ASC X12N 837 (005010×223A2) Health Care Claim Institutional March 2013 PBA, LLC TRI CARE Companion Guide to ASC X12/005010×223A 2 Health Care
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How to fill out 837 institutional companion documents
How to fill out 837 institutional companion documents:
01
Start by ensuring you have the correct form: The 837 institutional companion document is primarily used for electronic submission of healthcare claims for institutional providers such as hospitals and clinics. Make sure you are using the correct version of the form, as different iterations may have varying requirements.
02
Begin by entering identification details: The first section of the 837 institutional companion document requires you to enter the provider's name, address, and contact information. Additionally, you will need to provide the patient's personal details, insurance information, and the dates of service.
03
Specify the billing information: In the next section, you will need to indicate the type of bill being submitted (e.g., original, resubmission, corrected) and provide the necessary codes and amounts for each line item. This includes identifying the medical procedures, services, or supplies provided, along with their corresponding billing codes and charges.
04
Include supporting documentation: If needed, make sure to attach any required supporting documentation, such as medical records, invoices, or authorization forms. This helps provide additional context and justification for the services rendered and facilitates the claims review process.
05
Review and validate the information: Before submitting the form, carefully review all the entered information to ensure accuracy and completeness. Double-check the codes, amounts, and any accompanying documentation to minimize errors and potential claim rejections.
Who needs 837 institutional companion documents:
01
Healthcare providers: These documents are essential for institutional providers, including hospitals, clinics, and other healthcare facilities. They use 837 institutional companion documents to electronically submit their claims for reimbursement from insurance payers.
02
Insurance companies: Payers, such as commercial insurance companies and government healthcare programs like Medicare and Medicaid, rely on 837 institutional companion documents to process and adjudicate claims submitted by healthcare providers. These documents provide the necessary information for evaluating the services provided and determining payment amounts.
03
Healthcare clearinghouses: Clearinghouses play a crucial role in the claims submission process by acting as intermediaries between healthcare providers and insurance payers. They often require 837 institutional companion documents to validate and format claims before forwarding them to the appropriate payer.
In summary, filling out 837 institutional companion documents involves accurately capturing the necessary information and codes related to the services provided by institutional healthcare providers. These documents are utilized by providers, insurance companies, and clearinghouses to facilitate the claims reimbursement process.
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What is 837 institutional companion documents?
837 institutional companion documents are electronic files that contain healthcare claim information for institutional providers.
Who is required to file 837 institutional companion documents?
Institutional providers such as hospitals, nursing homes, and other healthcare facilities are required to file 837 institutional companion documents.
How to fill out 837 institutional companion documents?
837 institutional companion documents can be filled out electronically using specific software that follows the HIPAA transaction and code set rules.
What is the purpose of 837 institutional companion documents?
The purpose of 837 institutional companion documents is to submit healthcare claims electronically to insurance payers for reimbursement.
What information must be reported on 837 institutional companion documents?
837 institutional companion documents must include patient demographics, diagnosis codes, procedure codes, and billing information.
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