Get the free Companion Document 837I
Show details
This companion document provides information and basic instructions related to the 837I Institutional Health Care Claim transaction, including enveloping, compliance checking, diagnosis codes, and
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign companion document 837i
Edit your companion document 837i form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share your form instantly
Email, fax, or share your companion document 837i form via URL. You can also download, print, or export forms to your preferred cloud storage service.
How to edit companion document 837i online
To use the services of a skilled PDF editor, follow these steps below:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit companion document 837i. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
With pdfFiller, dealing with documents is always straightforward. Now is the time to try it!
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.
How to fill out companion document 837i
How to fill out Companion Document 837I
01
Gather all necessary patient information including demographics.
02
Ensure accurate billing provider NPI and taxonomy codes are included.
03
Validate patient insurance information and include payor details.
04
Complete claim details, including service dates and procedure codes.
05
Fill out billing codes such as CPT or HCPCS codes.
06
Include required modifiers for accurate billing.
07
Review for any supporting documentation that may be needed.
08
Ensure that all sections of the 837I format are correctly filled and adhere to electronic filing requirements.
09
Validate the Companion Document against the standard 837I format before submission.
10
Submit electronically to the relevant payor or health insurance organization.
Who needs Companion Document 837I?
01
Healthcare providers who bill Medicare or Medicaid.
02
Hospitals providing institutional claims.
03
Healthcare organizations that submit claims electronically.
04
Billing companies handling claims for medical providers.
05
Insurance payors needing standard claims documentation.
Fill
form
: Try Risk Free
People Also Ask about
What is a 837I file?
The 837I is the standard format institutional providers use to submit health care claims electronically. Institutional providers include: ANSI ASC X12N 837I. The ANSI ASC X12N 837I Version 5010A2 is the current electronic claim version.
What is the difference between 834 and 837 files?
The key role of the 834 EDI is to ensure providers and insurers have accurate enrollment data for each patient. On the other hand, the 837 healthcare transaction set is used to submit claims for healthcare services and items.
What is the EDI 837 document?
The EDI 837 Health Care Claim Transaction Set is a standardized format for submitting healthcare claim information electronically. Healthcare providers use it to send claims to payers, such as insurance firms and government agencies.
What is the primary purpose of the EDI 837?
EDI 837 Specification This transaction set can be used to submit healthcare medical claims, billing information, encounter information, or both, from providers of healthcare services to payers, either directly or via intermediary billers and claims clearinghouses.
What is an 837 companion guide?
The Companion Guide provides Centene trading partners with guidelines for submitting the ASC X12N/005010x222 Health Care Claim: Professional (837P) and ASC X12N/005010x223 Health Care Claim: Institutional (837I).
What is an 837I file in healthcare?
The 837I is the standard format institutional providers use to submit health care claims electronically. Institutional providers include: ANSI ASC X12N 837I. The ANSI ASC X12N 837I Version 5010A2 is the current electronic claim version.
What is a 837 file for claims?
What is an 837 File? An 837 file is an electronic file that contains patient claim information. This file is submitted to an insurance company or to a clearinghouse instead of printing and mailing a paper claim. The data in an 837 file is called a Transaction Set.
What is the difference between EDI 837I and 837P?
837P is the x12 EDI standard for the Clinic/Outpatient/Professional Claims, 837I is the x12 EDI standard for the Hospital/Inpatient/Institutional Claims) and 837D for the Dental Claims. Types of Claims: 837 P – Professional claims.
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.
What is Companion Document 837I?
The Companion Document 837I is a guideline that provides instructions for completing the 837 Institutional claim form, which is used for submitting healthcare claims for payment to insurers and healthcare programs.
Who is required to file Companion Document 837I?
Healthcare providers and facilities that submit institutional claims for services provided to patients, such as hospitals, nursing facilities, and home health agencies, are required to file the Companion Document 837I.
How to fill out Companion Document 837I?
To fill out the Companion Document 837I, providers should follow the instructions outlined in the document, which include specific coding requirements, data formatting, and necessary fields for patient and claim information.
What is the purpose of Companion Document 837I?
The purpose of the Companion Document 837I is to ensure consistent and accurate submission of institutional healthcare claims in compliance with regulations, facilitating the reimbursement process from insurers.
What information must be reported on Companion Document 837I?
The information that must be reported on the Companion Document 837I includes patient demographics, provider information, service details, diagnosis codes, procedure codes, and any other relevant data required for the proper processing of claims.
Fill out your companion document 837i 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.
Companion Document 837i is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
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.
