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837 Health Care Claim : Professional Version: 1.0 Draft Company: Publication: Network Health 7/2/2014 7/2/2014 X12V5010X222A1 Table of Contents 837. . . Health Care Claim : Professional. . . . . .
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Medical billing professionals who need to submit electronic claims to healthcare payers.
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Health insurance companies or payers who receive electronic claims and require a standardized format for processing and reimbursement.
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837 companion guide professional is a set of standards and guidelines for electronic data interchange (EDI) transactions related to healthcare claims.
Healthcare providers, insurers, and clearinghouses are required to file 837 companion guide professional when submitting electronic healthcare claims.
To fill out 837 companion guide professional, you need to follow the formatting and coding specifications outlined in the guide and ensure that all required information is included.
The purpose of 837 companion guide professional is to standardize the format and content of electronic healthcare claims to facilitate efficient processing and payment.
Information such as patient demographics, diagnosis codes, procedure codes, and payment information must be reported on 837 companion guide professional.
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