Get the free 837 Health Care Claim Companion Guides
Show details
This document serves as a companion guide to the ANSI X12N implementation guides, providing required information for submitting health care claims electronically to ValueOptions, Inc.
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign 837 health care claim
Edit your 837 health care claim 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 837 health care claim form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing 837 health care claim online
To use our professional PDF editor, follow these steps:
1
Log into your account. If you don't have a profile yet, click Start Free Trial and sign up for one.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit 837 health care claim. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
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.
It's easier to work with documents with pdfFiller than you could have believed. Sign up for a free account to view.
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 837 health care claim
How to fill out 837 Health Care Claim Companion Guides
01
Gather patient information, including demographics and insurance details.
02
Collect provider information such as NPI and tax ID numbers.
03
Determine the type of claim (professional or institutional).
04
Accurately fill out claim details following the guidelines in the companion guide.
05
Include appropriate diagnosis and procedure codes.
06
Ensure all required attachments are included.
07
Review for accuracy before submission.
08
Submit electronically to the designated payer's clearinghouse.
Who needs 837 Health Care Claim Companion Guides?
01
Healthcare providers who submit claims for reimbursement.
02
Billing personnel who manage claims processing.
03
Insurance companies that process health care claims.
04
Payers who need standardized claim formats for electronic processing.
Fill
form
: Try Risk Free
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 837 Health Care Claim Companion Guides?
The 837 Health Care Claim Companion Guides are a set of documents designed to provide detailed instructions and standard formats for submitting health care claims electronically using the 837 transaction set. These guides ensure uniformity and accuracy in the electronic exchange of health care claims information.
Who is required to file 837 Health Care Claim Companion Guides?
Health care providers, facilities, payers, and clearinghouses that engage in electronic claims submissions are required to adhere to the 837 Health Care Claim Companion Guides. This includes hospitals, physicians, and other healthcare professionals who bill for services rendered.
How to fill out 837 Health Care Claim Companion Guides?
To fill out the 837 Health Care Claim Companion Guides, providers must follow the formatting and data requirements specified within the guide. This typically involves collecting necessary patient and service details, adhering to specific codes for diagnoses and procedures, and using the prescribed electronic format to submit the claims.
What is the purpose of 837 Health Care Claim Companion Guides?
The purpose of the 837 Health Care Claim Companion Guides is to provide a clear framework for the electronic submission of health care claims, ensuring compliance with regulatory requirements and facilitating smooth transactions between healthcare providers and payers.
What information must be reported on 837 Health Care Claim Companion Guides?
The information that must be reported includes patient demographics, provider details, service dates, diagnosis and procedure codes, billing amounts, and other relevant details that support the claim for healthcare services rendered.
Fill out your 837 health care claim 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.
837 Health Care Claim 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.
