Get the free 837 Health Care Claim - Louisiana Medicaid

MOLINA MEDICAID SOLUTIONS Louisiana Medicaid 837 Health Care ClaimProfessional Companion Debased on ASC X12N Version 005010×222A1CORE v5010 Master Companion Guide TemplateIssued August 2017 Version

How to fill out 837 health care claim

How to fill out 837 health care claim

1. To fill out a 837 health care claim, follow these steps:
2. Gather all the necessary information such as patient demographics, insurance details, and medical procedure codes.
3. Start by entering the patient's personal information, including their name, address, and contact details.
4. Provide the patient's insurance information, including the policy number, group number, and any other relevant details.
5. Specify the dates of service for the medical procedures being claimed.
6. Enter the procedure codes for each service rendered. These codes should align with the current medical coding standards.
7. Include any necessary supporting documentation, such as medical reports or test results, to justify the claim.
8. Calculate the total charges for each service and enter them accordingly.
9. Submit the completed 837 health care claim form to the appropriate payer or clearinghouse for processing.
10. Double-check all the entered information for accuracy and completeness before submission.
11. Keep a copy of the filled-out 837 health care claim and any supporting documents for future reference.

Who needs 837 health care claim?

1. Various entities in the healthcare industry may need to submit a 837 health care claim, including:
2. - Medical service providers, such as hospitals, clinics, and private practices, who want to claim reimbursement for services rendered to patients.
3. - Healthcare billing companies that handle billing and claim submission on behalf of medical service providers.
4. - Health insurance companies who receive and process the claims for reimbursement purposes.
5. - Government agencies, such as Medicaid or Medicare, which provide healthcare coverage and require claims for reimbursement.
6. - Patients who qualify for specific healthcare programs that require them to submit claims for reimbursement.

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What is 837 health care claim?

837 health care claim is an electronic claim filing format used by healthcare providers to submit healthcare claims to insurance companies for reimbursement.

Who is required to file 837 health care claim?

Healthcare providers such as hospitals, doctors, clinics, and other healthcare professionals are required to file 837 health care claims.

How to fill out 837 health care claim?

837 health care claim can be filled out using electronic health record (EHR) software or practice management software compliant with HIPAA standards.

What is the purpose of 837 health care claim?

The purpose of 837 health care claim is to facilitate the electronic submission of healthcare claims for faster processing and reimbursement.

What information must be reported on 837 health care claim?

Information such as patient demographics, diagnosis codes, procedure codes, billed amounts, provider information, and insurance information must be reported on 837 health care claim.