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Vendor Specifications Healthcare Claim Payment/Advice ASC X12N 835 Version 4010×091A1 for State of Idaho MMS Date of Publication: 10/26/2009 Document Number: TL107 Version: 2.1 Idaho MMS 835 Healthcare

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What is vendor specifications healthcare claim?

Vendor specifications healthcare claim is a standardized form used by healthcare providers to submit claims for reimbursement to insurance companies or government healthcare programs.

Who is required to file vendor specifications healthcare claim?

Healthcare providers such as doctors, hospitals, and other medical facilities are required to file vendor specifications healthcare claims.

How to fill out vendor specifications healthcare claim?

Vendor specifications healthcare claims are typically filled out electronically using billing software or online portals provided by insurance companies or government healthcare programs.

What is the purpose of vendor specifications healthcare claim?

The purpose of vendor specifications healthcare claim is to request reimbursement for medical services provided to patients.

What information must be reported on vendor specifications healthcare claim?

Vendor specifications healthcare claim must include patient information, diagnosis codes, procedure codes, provider information, and billing information.

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