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Companion Guide for the 005010×222A1 Health Care Claim: Professional (837P) Lines of Business: Private Business ? Senior Plans ? QUEST ? Blue Card ? FEP ? AFC Segment ISA ISA06 ISA07 ISA08 ISA11
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Who needs 5010 837 p companion?
01
Healthcare providers such as doctors, hospitals, clinics, and other medical professionals who submit electronic claims to insurance companies or payers.
02
Medical billing departments or individuals responsible for submitting medical claims on behalf of healthcare providers.
03
Health insurance companies or payers who receive and process electronic claims from healthcare providers to determine coverage and reimbursement.
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What is 5010 837 p companion?
5010 837 p companion is an electronic transaction format used for the submission of healthcare claims. It is part of the HIPAA-mandated 5010 standards for electronic transactions in the healthcare industry.
Who is required to file 5010 837 p companion?
Healthcare providers, such as doctors, hospitals, and clinics, are required to file 5010 837 p companion for the submission of healthcare claims to payers, such as insurance companies and government programs.
How to fill out 5010 837 p companion?
To fill out a 5010 837 p companion, healthcare providers need to gather patient and service information, such as diagnosis codes, procedure codes, and patient demographic data. This information is then entered into a healthcare billing system or a claims management software that supports the 5010 837 p companion format.
What is the purpose of 5010 837 p companion?
The purpose of the 5010 837 p companion is to standardize the electronic submission of healthcare claims, allowing for faster processing, reduced errors, and efficient communication between healthcare providers and payers.
What information must be reported on 5010 837 p companion?
The 5010 837 p companion requires reporting of various patient and service information, including patient demographic data, diagnosis codes, procedure codes, service dates, and provider information. Additionally, it may require additional information specific to the type of healthcare service being claimed.
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