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Get the free MN-ITS Interactive (837I) Institutional Claim Form - dhs state mn

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The MN-ITS Institutional (837I) is a HIPAA compliant electronic transaction equivalent to claim submission using the UB04 paper claim form.
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How to fill out mn-its interactive 837i institutional

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How to fill out MN-ITS Interactive (837I) Institutional Claim Form

01
Access the MN-ITS Interactive website.
02
Log in using your provider credentials.
03
Select 'Create New Claim' from the main menu.
04
Choose '837I Institutional Claim' from the available options.
05
Fill out patient details including name, date of birth, and insurance information.
06
Enter the billing provider's information including NPI and address.
07
Complete the claim line items with appropriate procedure codes, diagnosis codes, and charges.
08
Attach any required documentation to support the claim.
09
Review the completed claim for accuracy.
10
Submit the claim for processing and save a confirmation for your records.

Who needs MN-ITS Interactive (837I) Institutional Claim Form?

01
Healthcare providers submitting institutional claims for services provided to patients.
02
Hospitals and healthcare organizations that need to bill insurance companies for institutional care.
03
Billing departments looking to process claims electronically to streamline operations.
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The MN-ITS Interactive (837I) Institutional Claim Form is an electronic format used for submitting institutional healthcare claims to the Minnesota Department of Human Services, allowing providers to receive reimbursement for services rendered to patients.
Healthcare providers who serve eligible patients under Minnesota's healthcare programs are required to file the MN-ITS Interactive (837I) Institutional Claim Form for reimbursement of institutional services.
To fill out the MN-ITS Interactive (837I) Institutional Claim Form, providers must gather patient demographics, service details, diagnosis codes, and billing information, then enter these details into the appropriate fields in the electronic claim submission system.
The purpose of the MN-ITS Interactive (837I) Institutional Claim Form is to facilitate the electronic submission of institutional claims for medical services to ensure efficient processing and timely reimbursement.
The information that must be reported on the MN-ITS Interactive (837I) Institutional Claim Form includes patient identification, provider information, dates of service, types of services rendered, diagnosis codes, revenue codes, and any applicable adjustments or remarks.
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