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Blue Cross & Blue Shield of Rhode Island 837 Health Care Claim: Institutional Companion Guide HIPAA version 5010 Version 0.1 Status: Draft November 3, 2010, Blue Cross & Blue Shield of Rhode Island
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How to fill out 837 health care claim

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How to fill out 837 health care claim:

01
Gather necessary information: Collect all required patient information including demographic details, insurance information, and relevant medical documentation such as diagnosis codes, procedure codes, and dates of service.
02
Identify the correct form: Determine which version of the 837 health care claim you need to use based on the type of claim being filed. There are different versions for institutional claims (837I), professional claims (837P), and dental claims (837D).
03
Verify the correct data elements: Ensure that all the necessary data elements are included in the claim form, such as the patient's name, address, date of birth, insurance ID numbers, and provider information.
04
Complete the claim form: Enter the appropriate information in each field of the 837 health care claim form, following the specific guidelines provided. Double-check for accuracy and completeness.
05
Attach supporting documents: If required, include any relevant supporting documentation with the claim form, such as medical records, referrals, or prior authorization forms.
06
Review and submit the claim: Carefully review the completed claim form for any errors or missing information. Once satisfied, submit the claim electronically through the appropriate channels, such as a clearinghouse or directly to the payer.
07
Track the claim: Keep track of the claim by recording any claim reference numbers, confirmation numbers, or submission dates. This will help in monitoring the progress and following up with the payer if needed.

Who needs 837 health care claim:

The 837 health care claim form is typically used by healthcare providers, including hospitals, clinics, physicians, dentists, and other healthcare professionals, who are seeking reimbursement from insurance payers for the services they have rendered. It is necessary for providers who work with insurance companies to submit accurate and timely claims to ensure proper payment for their services. Without properly filled out 837 health care claim forms, providers may experience delays in receiving reimbursements or potential denials for the services provided.
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837 health care claim is an electronic submission used by healthcare providers to bill insurance companies for healthcare services provided to patients.
Healthcare providers, such as hospitals, doctors, and other healthcare facilities, are required to file 837 health care claims.
837 health care claims can be filled out using electronic health record systems or medical billing software that are compliant with HIPAA standards.
The purpose of 837 health care claim is to request reimbursement from insurance companies for healthcare services provided to patients.
Information such as patient demographics, provider information, dates of service, procedures performed, diagnosis codes, and insurance information must be reported on 837 health care claims.
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