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How to fill out 837i health care claim
How to fill out 837I Health Care Claim Companion Document
01
Obtain the appropriate 837I Health Care Claim Companion Document template.
02
Fill in the patient identification information, including name, date of birth, and insurance details.
03
Enter the provider's details including name, NPI number, and address.
04
Specify the date(s) of service and place of service codes.
05
List the procedures performed with corresponding CPT/HCPCS codes.
06
Input diagnosis codes that justify the procedures performed.
07
Include any relevant modifiers for procedures or services.
08
Specify the amounts charged for each service provided.
09
Review the claim for accuracy and completeness.
10
Submit the completed claim through the designated clearinghouse or billing software.
Who needs 837I Health Care Claim Companion Document?
01
Healthcare providers such as hospitals and clinics submitting claims for institutional services.
02
Billing specialists or coders responsible for processing claims for inpatient or outpatient services.
03
Any entity involved in the submission of healthcare claims for reimbursement from payers.
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What is 837I Health Care Claim Companion Document?
The 837I Health Care Claim Companion Document is a technical document that provides guidelines for the submission of institutional health care claim transactions using the 837I format in electronic health care claims processing.
Who is required to file 837I Health Care Claim Companion Document?
Health care providers, such as hospitals and skilled nursing facilities, that submit institutional claims to health insurers or payers are required to file the 837I Health Care Claim Companion Document.
How to fill out 837I Health Care Claim Companion Document?
To fill out the 837I Health Care Claim Companion Document, providers must follow specific data element requirements and instructions detailed in the companion document, which includes formatting guidelines and required fields based on the institutional claim being submitted.
What is the purpose of 837I Health Care Claim Companion Document?
The purpose of the 837I Health Care Claim Companion Document is to facilitate standardized electronic claims submission, ensure interoperability among electronic health record systems, and streamline the claims processing workflow for institutional health care services.
What information must be reported on 837I Health Care Claim Companion Document?
The 837I Health Care Claim Companion Document must report information including patient demographics, facility and services information, diagnosis codes, procedure codes, billing amounts, and payer information, among other relevant data for institutional claims.
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