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Serving the IMS Health Program* 837D Companion Guide v5010 DentaQuest HIPAA Transaction Standard Companion Guide 837D 005010×224A2 Version 1.0 for Health Safety Net January 2016 January 18, 2016
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How to fill out 837d companion guide
How to fill out the 837d companion guide?
01
Familiarize yourself with the purpose of the 837d companion guide. Understand that it is a document that provides instructions and additional information for completing the 837d claim form. It may include specific coding requirements, data element specifications, and other relevant details.
02
Gather all necessary information and documentation related to the claim you are filing. This can include patient demographics, healthcare provider information, diagnosis codes, procedure codes, and any supporting documentation required for the claim.
03
Review the specific instructions provided in the 837d companion guide for each section of the claim form. Pay attention to any coding guidelines, formatting requirements, or data element specifications mentioned.
04
Enter the required information accurately into the corresponding fields on the 837d claim form. Follow the instructions provided in the companion guide for each data element or section. Double-check your entries to ensure accuracy and completeness.
05
Take note of any specific requirements or additional information mentioned in the companion guide. This could include specific instructions for certain types of claims, unique coding requirements, or any additional documentation that needs to be submitted with the claim.
06
Validate and test your completed claim form before submission. Use any available validation tools or software to check for errors, missing data, or formatting issues. Make the necessary corrections if any issues are identified.
07
Submit the completed 837d claim form along with any supporting documentation as required. Follow the specific submission guidelines mentioned in the companion guide, such as the preferred method of submission (electronic or paper).
Who needs the 837d companion guide?
01
Healthcare providers: Healthcare providers who need to submit claims electronically or on paper can benefit from the 837d companion guide. It provides clear instructions and additional information to ensure accurate and efficient claim submission.
02
Billing professionals and coders: Professionals responsible for coding and billing services need to be familiar with the 837d companion guide. It helps them understand the specific requirements and guidelines for coding, data entry, and claim submission.
03
Insurance companies and payers: Insurance companies and payers who receive and process claims also benefit from the 837d companion guide. It provides them with the necessary details and instructions to correctly process the claims and determine reimbursement.
04
Software vendors and developers: Companies and developers involved in creating healthcare billing software and systems should refer to the 837d companion guide. It aids in ensuring their software is compliant with industry standards and guidelines for claim submission.
Overall, anyone involved in the process of completing, submitting, or processing healthcare claims can benefit from utilizing the 837d companion guide as it provides valuable information and instructions for accurate and efficient claim processing.
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