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This document serves as a companion guide for the 837 Dental Claims transactions to assist providers and other trading partners in understanding the requirements for electronic data interchange with
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How to fill out 837d companion guide v-2

How to fill out 837D Companion Guide V-2
01
Obtain the 837D Companion Guide V-2 document.
02
Review the introduction section to understand the purpose of the guide.
03
Familiarize yourself with the required format for the 837D claim submission.
04
Fill out the patient information section, ensuring accurate demographics.
05
Complete the provider information, including NPI and tax ID numbers.
06
Enter the details of the services rendered, including procedure codes and dates of service.
07
Attach any necessary supporting documentation as specified in the guide.
08
Validate the completed form against the guidelines provided in the companion guide.
09
Submit the filled-out 837D claim electronically to the appropriate payer.
Who needs 837D Companion Guide V-2?
01
Healthcare providers who submit dental claims.
02
Billing departments in dental practices.
03
Payers who process dental claim submissions.
04
Software vendors developing systems for dental billing.
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What is 837D Companion Guide V-2?
The 837D Companion Guide V-2 is a document that provides detailed instructions and guidelines for the submission of dental claims using the 837D format, ensuring compliance with standards set by the Health Insurance Portability and Accountability Act (HIPAA).
Who is required to file 837D Companion Guide V-2?
Providers, payers, and any entities involved in the electronic filing of dental claims under the HIPAA regulations are required to file using the 837D Companion Guide V-2.
How to fill out 837D Companion Guide V-2?
To fill out the 837D Companion Guide V-2, providers must follow the specific instructions outlined in the guide, which includes formatting details, required data elements, and examples of how to properly complete each section of the form.
What is the purpose of 837D Companion Guide V-2?
The purpose of the 837D Companion Guide V-2 is to facilitate the electronic submission of dental claims, ensuring that all necessary information is accurately represented and compliant with the required standards for processing.
What information must be reported on 837D Companion Guide V-2?
The 837D Companion Guide V-2 requires the reporting of patient details, provider information, claim details (including services provided), and necessary diagnoses codes, along with any other supporting information as specified in the guide.
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