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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

How to fill out 837 professional claim

How to fill out 837 professional claim

1. To fill out a 837 professional claim form, follow these steps:
2. Start by providing the patient's personal information, including name, date of birth, gender, and contact details.
3. Specify the patient's insurance information, including the policy number, group number, and insurance provider details.
4. Include the referring or ordering physician's information, such as their name, NPI number, and contact details.
5. Enter the date of service and the place where the service was provided.
6. Provide a detailed description and coding of the services rendered.
7. Indicate any diagnoses related to the services provided using the appropriate coding system, such as ICD-10.
8. Include any additional documentation or notes required to support the claim.
9. Verify that all information is accurate and complete before submission.
10. Submit the completed 837 professional claim form through the appropriate channels, such as electronically or via mail.
11. Keep a copy of the claim form and any supporting documentation for your records.

Who needs 837 professional claim?

1. Various healthcare providers and professionals, such as physicians, hospitals, clinics, and ambulatory surgical centers, may need to submit a 837 professional claim.
2. Insurance companies and healthcare payers also require the 837 professional claim form for processing and reimbursement purposes.
3. Medical billing companies and billing departments within healthcare organizations utilize the 837 professional claim to facilitate accurate billing and claim submission.

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What is 837 professional claim?

837 professional claim is a standard electronic format used by healthcare providers to submit healthcare claims for reimbursement from insurance companies.

Who is required to file 837 professional claim?

Healthcare providers such as physicians, hospitals, and clinics are required to file 837 professional claims for services provided to patients and to receive reimbursement from insurance companies.

How to fill out 837 professional claim?

837 professional claims can be filled out using medical billing software or through a clearinghouse that processes electronic healthcare claims. Providers need to input patient information, diagnosis codes, procedure codes, and other relevant details.

What is the purpose of 837 professional claim?

The purpose of 837 professional claim is to streamline and automate the process of submitting healthcare claims for reimbursement, reducing paperwork and processing time for providers and insurance companies.

What information must be reported on 837 professional claim?

Data that must be reported on 837 professional claim includes patient demographics, provider information, diagnosis codes, procedure codes, dates of service, and other relevant details about the healthcare services provided.