Get the free 837 Professional Healthcare Claim - hca wa

State of Washington 837 Professional Healthcare Claim Companion Guide Prepared by: ANSI August 2012 WAMMISCG837PCLAIMS50100101 Disclaimer This companion guide contains data clarifications derived

How to fill out 837 professional healthcare claim

How to fill out 837 professional healthcare claim

1. Gather all necessary information such as patient identification details, provider information, and insurance details.
2. Start by filling out the header section, which includes information about the provider and the claim.
3. Proceed to the patient information section and provide all relevant details about the patient, including their name, address, and insurance information.
4. Fill out the service facility location section, if applicable.
5. Next, enter the diagnosis codes related to the claim and provide additional information if required.
6. Move on to the procedure section and list all the services provided with their corresponding codes and charges.
7. Include any necessary modifiers and indicate the quantity of services rendered.
8. Complete the claim by appending any additional remarks or special instructions.
9. Review the completed form for accuracy and completeness before submitting it electronically or via mail.

Who needs 837 professional healthcare claim?

1. Healthcare providers, such as doctors, hospitals, or clinics, who offer medical services and bill insurance companies.
2. Medical billing professionals or coding specialists who handle the submission of claims on behalf of healthcare providers.
3. Health insurance companies that process claims and reimburse healthcare providers for services rendered.
4. Government healthcare programs, like Medicaid or Medicare, that require the use of the 837 professional healthcare claim.

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What is 837 professional healthcare claim?

837 professional healthcare claim is an electronic form used by healthcare providers to submit claims for reimbursement from insurance companies.

Who is required to file 837 professional healthcare claim?

Healthcare providers, such as doctors, hospitals, and clinics, are required to file 837 professional healthcare claims.

How to fill out 837 professional healthcare claim?

To fill out a 837 professional healthcare claim, healthcare providers must input patient information, diagnosis codes, procedure codes, and other necessary details into the electronic form.

What is the purpose of 837 professional healthcare claim?

The purpose of 837 professional healthcare claim is to request reimbursement from insurance companies for services provided to patients.

What information must be reported on 837 professional healthcare claim?

Information such as patient demographics, provider information, diagnosis codes, procedure codes, and billed amounts must be reported on 837 professional healthcare claim.