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This document serves as a companion to the HIPAA X12N 837 professional claim implementation guide, detailing specific requirements for processing claims through CIGNA Government Services.
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How to fill out CIGNA Government Services Part B 837 v. 4010A1 Inbound Professional Claim Companion Document/Trading Partner Agreement
01
Gather all necessary patient information including demographics and insurance details.
02
Ensure the provider information is accurate, including National Provider Identifier (NPI) and taxonomy.
03
Collect all relevant service details, including procedure codes (CPT/HCPCS) and diagnosis codes (ICD).
04
Fill out the claim form following the CIGNA guidelines for the 837 v. 4010A1 format.
05
Verify all data for accuracy to minimize claim denials, checking for missing fields.
06
Submit the completed claim electronically through the designated submission channel.
07
Monitor submission reports and acknowledgments for successful transmission.
08
Address any requests for additional information from CIGNA post-submission.
Who needs CIGNA Government Services Part B 837 v. 4010A1 Inbound Professional Claim Companion Document/Trading Partner Agreement?
01
Healthcare providers submitting claims to CIGNA Government Services for Part B services.
02
Billing specialists who manage electronic claims submissions.
03
Healthcare organizations requiring compliance with CIGNA's electronic claims processing standards.
04
Any entity involved in the reimbursement process for Medicare Part B services.
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People Also Ask about
What is a X12 837 health care claim?
The ASC X12 837 Health Care Claim: Professional and associated addenda define the transaction for electronically transmitting professional claims or equivalent encounters, including coordination of benefits information in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
Which billing provider must be associated to the submitter from a trading partner management perspective?
NM109 billing provider must be “associated” to the submitter (from a trading partner management perspective) in 1000A. NM109. The provider must be enrolled with EDI for claims submission by this submitter. Billing provider secondary reference ID (tax ID) must be associated with the billing provider reference ID number.
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What is CIGNA Government Services Part B 837 v. 4010A1 Inbound Professional Claim Companion Document/Trading Partner Agreement?
The CIGNA Government Services Part B 837 v. 4010A1 Inbound Professional Claim Companion Document/Trading Partner Agreement is a set of guidelines and agreements that healthcare providers must follow to submit electronic claims for professional services to CIGNA Government Services.
Who is required to file CIGNA Government Services Part B 837 v. 4010A1 Inbound Professional Claim Companion Document/Trading Partner Agreement?
Healthcare providers and organizations that bill for professional services to Medicare Part B are required to file the CIGNA Government Services Part B 837 v. 4010A1 Inbound Professional Claim Companion Document/Trading Partner Agreement.
How to fill out CIGNA Government Services Part B 837 v. 4010A1 Inbound Professional Claim Companion Document/Trading Partner Agreement?
To fill out the document, healthcare providers must gather necessary patient and service information, adhere to the formatting specified in the 837 v. 4010A1 format, and ensure all required fields are accurately completed before submission.
What is the purpose of CIGNA Government Services Part B 837 v. 4010A1 Inbound Professional Claim Companion Document/Trading Partner Agreement?
The purpose of this document is to provide a standardized format for electronic submissions of professional claims, ensure compliance with regulations, and establish a partnership agreement between trading partners for the exchange of information.
What information must be reported on CIGNA Government Services Part B 837 v. 4010A1 Inbound Professional Claim Companion Document/Trading Partner Agreement?
The information that must be reported includes patient demographics, provider identifiers, claim details such as services rendered, billing and diagnosis codes, and other relevant data required for processing the claims.
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