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Release 1 (June 2011) ... BlueChoice Healthily is an independent licensee of the Blue Cross and Blue Shield ... 835 Health Care Claim Payment / Advice Companion Document ... http://www.bluechoicescmedicaid.com/providers/

How to fill out 835 health care claim

How to fill out 835 health care claim:

1. Ensure that you have the necessary information and documentation ready, including the patient's demographic and insurance information, as well as the details of the health care services provided.
2. Begin by accurately completing the top section of the form, which includes the payer and provider information. This includes the payer name, payer address, provider name, provider ID, and the date of the claim.
3. Next, enter the patient's information, including their name, identification number, and the date of birth. Ensure that all details are entered correctly to avoid any claim rejections or delays.
4. Fill out the service line section of the form, where you will list the details of the health care services provided. This includes the date of service, CPT or HCPCS codes, the billed amount, and any applicable modifiers.
5. Provide a clear description of the services rendered, including any relevant diagnosis codes. This helps to accurately communicate the purpose of the claim to the payer.
6. Calculate the total amount billed for the claim and enter it in the appropriate section. Ensure that the math is accurate to avoid any discrepancies or payment delays.
7. Double-check all the information provided on the form for accuracy and completeness. Any errors or missing information can lead to claim rejections or payment denials.
8. Finally, submit the completed 835 health care claim to the appropriate payer through the designated submission method, such as electronic submission or mail.

Who needs 835 health care claim:

1. Health care providers and medical professionals who have provided services to patients.
2. Billing departments and staff responsible for submitting claims to insurance payers.
3. Insurance companies and payers who require the necessary documentation to process and adjudicate health care claims accurately.

For pdfFiller’s FAQs

What is 835 health care claim?

835 health care claim is an electronic document that provides detailed information about the payments made by healthcare insurance companies to healthcare providers.

Who is required to file 835 health care claim?

Healthcare providers such as hospitals, doctors, and clinics are required to file 835 health care claims.

How to fill out 835 health care claim?

To fill out a 835 health care claim, healthcare providers need to input information about the services provided, the patient's details, the payment received, and other relevant data into the electronic form.

What is the purpose of 835 health care claim?

The purpose of 835 health care claim is to provide a detailed breakdown of the payments made by healthcare insurance companies to healthcare providers for services rendered to patients.

What information must be reported on 835 health care claim?

Information such as the patient's name, insurance ID, service provided, date of service, payment amount, and any adjustments must be reported on a 835 health care claim.

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