Form preview

Get the free Companion Document 837P

Get Form
This companion document provides instructions and expectations for submitting 837 Professional Health Care Claims and must be used along with the ASC X12 Standards for Electronic Data Interchange
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign companion document 837p

Edit
Edit your companion document 837p form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your companion document 837p form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing companion document 837p online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit companion document 837p. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
Dealing with documents is simple using pdfFiller.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out companion document 837p

Illustration

How to fill out Companion Document 837P

01
Obtain the Companion Document 837P from your provider or the relevant authority.
02
Review the instructions specific to the document to understand required fields.
03
Fill in the header section with the required billing provider information.
04
Complete patient demographics, including patient name, date of birth, and policy number.
05
Input the procedure codes and corresponding modifiers as necessary for each service provided.
06
Include diagnosis codes that support the medical necessity of the services rendered.
07
Ensure that units of service are correctly entered for each line item.
08
Review all data for accuracy and completeness before submission.
09
Submit the Companion Document 837P according to your insurance provider's submission guidelines.

Who needs Companion Document 837P?

01
Healthcare providers submitting insurance claims for services rendered.
02
Billing professionals responsible for insurance claim submissions.
03
Organizations coordinating healthcare payment processes.
04
Payers that require standardized documentation for processing claims.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
32 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Companion Document 837P is a supporting document that provides additional guidelines for providers on how to complete the 837P transaction for electronic claims submission.
Healthcare providers, particularly those in the United States who submit claims electronically to health insurance payers, are required to file the Companion Document 837P.
To fill out the Companion Document 837P, providers should follow the specific instructions outlined in the document, ensuring that all required fields are accurately completed according to the guidelines and specifications provided.
The purpose of the Companion Document 837P is to clarify and provide detailed instructions on the requirements for submitting the 837P electronic claims, ensuring standardization and compliance.
The Companion Document 837P must report information including but not limited to provider details, patient information, procedure codes, diagnosis codes, and billing information necessary for processing claims.
Fill out your companion document 837p online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.