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Idaho Department of Health and Welfare Vendor Specifications Health Care Claim Payment/Advice ASC X12N 835 Version 4010×091 Revised October 3, 2007, Idaho MMS Medicaid 835 Health Care Claim Payment/Advice
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Who needs 835 vendor specifications?

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Healthcare providers or healthcare organizations who file claims electronically may need 835 vendor specifications.
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Billing companies or clearinghouses involved in processing healthcare claims may require 835 vendor specifications.
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Insurance companies that receive and process electronic healthcare claim data may need 835 vendor specifications.
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Software developers or vendors who develop or integrate systems for healthcare claims processing may require 835 vendor specifications.
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835 vendor specifications refer to the technical requirements that healthcare providers must adhere to when submitting electronic remittance advice (ERA) files to insurance companies or payers.
Healthcare providers, such as hospitals, clinics, and doctor's offices, are required to file 835 vendor specifications when submitting electronic remittance advice (ERA) files to insurance companies or payers.
To fill out 835 vendor specifications, healthcare providers must follow the technical requirements outlined by the insurance companies or payers. This includes formatting the ERA files in a specific way and including all required information.
The purpose of 835 vendor specifications is to standardize the format and content of electronic remittance advice (ERA) files submitted by healthcare providers. This helps streamline the payment process and ensure accurate and timely payment.
835 vendor specifications typically require healthcare providers to report information such as patient demographics, service dates, procedure codes, billed amounts, and payment details.
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