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Chapter 2: 837 Professional Health Care Claim837 Professional Health Care Claim
Overview2Claims Processing
Acknowledgements
Ancillary Billing
Anesthesia Billing
Coordination of Benefits (COB) Processing
Code
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How to fill out 837 professional claim
How to fill out 837 professional claim
01
To fill out a 837 professional claim, follow these steps:
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Begin by entering the client's information, including their name, address, and contact details.
04
Specify the insurance details, such as the policy number and group number.
05
Next, provide the details of the provider, including the name, address, and NPI number.
06
Enter the billing information, including the date of service, CPT codes, and modifiers.
07
Include the diagnosis codes associated with the services provided.
08
Specify any additional charges or fees, such as for anesthesia or surgical supplies.
09
Finally, review the claim for accuracy and completeness before submitting it to the insurance company.
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Ensure that you follow the specific guidelines and requirements of the insurance company you are submitting the claim to. It's also recommended to use electronic submission methods for faster processing and reduced errors.
Who needs 837 professional claim?
01
Various healthcare providers, such as physicians, surgeons, hospitals, clinics, and medical practitioners, need to fill out 837 professional claim forms.
02
These claims are used to request reimbursement from insurance companies for medical services provided to patients.
03
Healthcare professionals who accept insurance payments for their services will typically need to submit 837 professional claims.
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It is important for healthcare providers to accurately complete these claims to ensure timely reimbursement and proper financial management.
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What is 837 professional claim?
837 professional claim is an electronic format used by healthcare providers to submit billing information for services rendered to insurance companies.
Who is required to file 837 professional claim?
Healthcare providers, such as doctors, hospitals, and other medical facilities, are required to file 837 professional claims.
How to fill out 837 professional claim?
837 professional claims can be filled out using billing software that is compliant with the standard format required by insurance companies.
What is the purpose of 837 professional claim?
The purpose of 837 professional claim is to streamline the billing process and ensure accurate and timely payment for services rendered.
What information must be reported on 837 professional claim?
Information such as patient demographics, diagnosis codes, procedure codes, and provider information must be reported on 837 professional claim.
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