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837I Inbound Companion Guide Institutional Claim Submission Version 2.3 Managed Health Services Indiana Table of Contents REVISION HISTORY ................................................................................................................
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How to fill out 837i inbound companion guide

How to fill out 837i inbound companion guide:
01
Familiarize yourself with the purpose of the 837i inbound companion guide. It is a document that helps guide healthcare providers in submitting electronic claims for medical services.
02
Obtain a copy of the 837i inbound companion guide. You can usually find it on the website of the organization or insurer you are submitting the claims to.
03
Review the general instructions provided in the guide. This will give you an overview of how to complete the different sections of the 837i form.
04
Understand the layout and structure of the 837i form. This includes knowing the different segments, data elements, and codes that are necessary for accurately filling out the form.
05
Gather all the required information and data before you start filling out the guide. This may include patient information, provider information, service codes, billing codes, and supporting documentation.
06
Start by entering the patient's personal and insurance information in the designated sections of the guide. This includes their name, address, date of birth, and insurance policy details.
07
Move on to adding the details of the medical services provided. This includes the date of service, diagnosis codes, procedure codes, and any other relevant information that supports the claim.
08
Double-check all the information you have entered in the guide for accuracy and completeness. This will help minimize any potential errors that may delay claim processing.
09
Follow any specific instructions or guidelines mentioned in the 837i inbound companion guide for special scenarios or additional information required.
10
Once you have completed filling out the guide, save a copy for your records and submit it according to the instructions provided by the organization or insurer.
Who needs 837i inbound companion guide?
01
Healthcare providers and medical practitioners who want to submit claims electronically to insurers or organizations.
02
Billing and coding specialists who are responsible for accurately documenting and submitting electronic claims.
03
Insurance companies or organizations that require healthcare providers to use the 837i inbound companion guide format for claim submissions.
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