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HALLMARK 837 PROFESSIONAL 5010A1 COMPANION GUIDEWellmark
Blue Cross and
Blue Shield
HIPAA Transaction Standard
Companion Guide
Section 2, 837 Professional
Refers to the X12N Technical Report Type
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How to fill out 837 professional - wellmark
How to fill out 837 professional - Wellmark:
01
Start by gathering all necessary information, including the patient's demographic details, insurance information, and complete medical documentation.
02
Begin filling out the header section of the form, which includes the sender's and receiver's identification information, as well as the billing provider's details.
03
Move on to the patient section and enter the patient's name, date of birth, gender, and other relevant details.
04
Fill out the insured party section if the patient is different from the insured person. Include the insurance policy number, group number, and any other required information.
05
Provide the billing provider's information accurately, including their name, address, and contact details.
06
Enter the service facility information, including the name, address, and NPI number if applicable.
07
Next, input the referring provider details if applicable, including their name, address, and NPI number.
08
Proceed to the claim information section and enter relevant procedure codes, diagnoses, and the date of service. Make sure to accurately describe the service provided.
09
Include any required attachments or additional documentation to support the claim, such as medical records, test results, or referral documents.
10
Double-check all the information provided to ensure accuracy and completeness.
Who needs 837 professional - Wellmark:
01
Healthcare providers: Medical professionals, clinics, hospitals, and other healthcare providers who are contracted with Wellmark can use the 837 professional form to submit claims for reimbursement.
02
Insurance companies: Wellmark, being an insurance company, may also require the use of the 837 professional form for internal record-keeping and claim processing purposes.
03
Billing agencies: Third-party billing agencies or medical billing services responsible for managing claims and reimbursements on behalf of healthcare providers may also need to fill out the 837 professional - Wellmark form.
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What is 837 professional - wellmark?
837 professional - wellmark is the standard format for submitting healthcare claims electronically.
Who is required to file 837 professional - wellmark?
Healthcare providers, hospitals, and billing companies are required to file 837 professional - wellmark.
How to fill out 837 professional - wellmark?
837 professional - wellmark forms can be filled out using specialized software that supports the format.
What is the purpose of 837 professional - wellmark?
The purpose of 837 professional - wellmark is to streamline the claims submission process and improve efficiency in healthcare billing.
What information must be reported on 837 professional - wellmark?
Information such as patient demographics, diagnosis codes, procedure codes, and insurance information must be reported on 837 professional - wellmark.
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