Get the free 837 Health Care Claim: Dental

Blue Cross & Blue Shield of Rhode Island837 Health Care Claim: Dental Companion Guide HIPAA version 5010 Version 1.4 Status: Published November 9, 2016Blue Cross & Blue Shield of Rhode Island is an

How to fill out 837 health care claim

How to fill out 837 health care claim

1. Gather all the necessary information about the patient and the healthcare services provided.
2. Start by filling out the header section of the 837 health care claim form which includes provider information, subscriber information, and payer information.
3. Move on to the patient information section and fill in details like name, address, date of birth, gender, and insurance information.
4. Provide details about the healthcare services rendered including dates, procedures, diagnosis codes, and any medication or supplies used. Use the appropriate form fields to accurately describe each service.
5. Include any supporting documentation required for the claim such as medical records, accompanying reports, or referral authorizations.
6. Check for accuracy and completeness of all the information provided before submitting the 837 health care claim.
7. Submit the completed 837 health care claim to the appropriate insurance payer electronically or by mail, following their specific submission guidelines.
8. Keep a copy of the submitted claim for future reference and tracking of payment.
9. Monitor the claim status through the provided tracking number and follow up with the payer if necessary.
10. Once the claim is processed and approved, review the remittance advice for any deductions or adjustments and verify the reimbursement amount.
11. Maintain proper documentation and records of the claim submission and payment for accounting and auditing purposes.

Who needs 837 health care claim?

1. Healthcare providers such as hospitals, clinics, physicians, and healthcare professionals require 837 health care claim to submit billing information for the services they provide.
2. Health insurance companies and other payers need the 837 health care claim to process and adjudicate claims, determine reimbursement amounts, and make payments to the healthcare providers.
3. Medical billing and coding professionals and staff involved in revenue cycle management rely on 837 health care claim to ensure accurate and timely submission of claims, and to track and manage the reimbursement process.
4. Government agencies and regulatory bodies may also require the submission of 837 health care claims for monitoring and auditing purposes.

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What is 837 health care claim?

837 health care claim is an electronic form used by healthcare providers to submit healthcare claims for reimbursement from insurance companies or government health programs.

Who is required to file 837 health care claim?

Healthcare providers such as hospitals, physicians, clinics, and other healthcare professionals are required to file 837 health care claims.

How to fill out 837 health care claim?

837 health care claims can be filled out electronically using specific billing software or through a clearinghouse that specializes in healthcare claim submissions.

What is the purpose of 837 health care claim?

The purpose of 837 health care claim is to request reimbursement from insurance companies or government health programs for healthcare services provided to patients.

What information must be reported on 837 health care claim?

Information that must be reported on 837 health care claim includes patient demographic information, diagnosis codes, procedure codes, provider information, and insurance information.