Form preview

Get the free 837I Companion Guide - Blue Cross Blue Shield of Illinois

Get Form
837 Institutional Health Care Claim Companion Document ASC X12 Version 4010A1 October 2002 Purpose of This Document This companion guide has been written to assist those who will be implementing the
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign 837i companion guide

Edit
Edit your 837i companion guide 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 837i companion guide form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit 837i companion guide online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit 837i companion guide. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
With pdfFiller, dealing with documents is always straightforward.

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 837i companion guide

Illustration

How to fill out 837i companion guide:

01
Understand the purpose of the guide: Familiarize yourself with the 837i companion guide to understand its purpose and the specific instructions it provides for completing the 837i form.
02
Review the instructions: Thoroughly read through the guide to ensure you understand the requirements and guidelines for accurately filling out the 837i form.
03
Collect necessary information: Gather all the relevant data and information required for completing the 837i form, such as patient details, healthcare provider information, and specific medical codes.
04
Follow the outlined steps: Follow the step-by-step instructions provided in the guide to correctly input the required information into the corresponding fields of the 837i form.
05
Verify accuracy: Double-check all the entered information for accuracy, ensuring that it aligns with the guidelines and specifications mentioned in the companion guide.
06
Seek clarification if needed: If you encounter any confusion or have questions while completing the 837i form, refer back to the companion guide or consult with a knowledgeable resource for clarification.

Who needs 837i companion guide:

01
Healthcare providers: Medical professionals, clinics, and healthcare institutions involved in submitting insurance claims through electronic means (electronic data interchange) may need the 837i companion guide to ensure accurate completion of the 837i form.
02
Billing departments: Individuals responsible for billing and claims submission in healthcare organizations may require the 837i companion guide to understand the process and requirements for accurately completing the 837i form.
03
Insurers and payers: Insurance companies and payers who receive and process healthcare claims electronically may refer to the 837i companion guide to ensure that the submitted forms adhere to the required standards and guidelines.
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
4.5
Satisfied
58 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 837i companion guide is a document that provides instructions and guidance for filling out the 837i claim form, which is used for submitting institutional healthcare claims electronically.
Healthcare providers and institutions that submit institutional healthcare claims electronically are required to file the 837i companion guide.
To fill out the 837i companion guide, healthcare providers and institutions need to follow the instructions specified in the guide. They must provide accurate information about the healthcare claim, including patient demographics, diagnosis codes, procedure codes, and other required details.
The purpose of the 837i companion guide is to ensure that healthcare providers and institutions submit standardized and complete institutional healthcare claims electronically. It helps in streamlining the claims submission process and ensures accurate and consistent data.
The 837i companion guide requires healthcare providers and institutions to report various information, including patient demographics, provider information, diagnosis codes, procedure codes, service dates, billing information, and any other required details for the specific claim.
pdfFiller’s add-on for Gmail enables you to create, edit, fill out and eSign your 837i companion guide and any other documents you receive right in your inbox. Visit Google Workspace Marketplace and install pdfFiller for Gmail. Get rid of time-consuming steps and manage your documents and eSignatures effortlessly.
Once you are ready to share your 837i companion guide, you can easily send it to others and get the eSigned document back just as quickly. Share your PDF by email, fax, text message, or USPS mail, or notarize it online. You can do all of this without ever leaving your account.
Use the pdfFiller mobile app to fill out and sign 837i companion guide on your phone or tablet. Visit our website to learn more about our mobile apps, how they work, and how to get started.
Fill out your 837i companion guide 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.