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Los Angeles County Department of Mental Health HIPAA 837 Transaction Standard Companion Guide for IBIS Client Service Based and Community Outreach Service (COS) Claims Processing Refers to the ASC
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To fill out the lacdmh 837 5010 companion form, follow these steps:
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Start by entering the necessary identifying information at the top of the form. This may include the patient's name, address, and contact details.
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Next, provide the relevant healthcare provider information, such as name, address, and National Provider Identifier (NPI) number.
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Proceed to fill in the patient's insurance information, including the policy number, group number, and any applicable authorization or referral codes.
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In the designated sections, document the details of the healthcare services provided, including the date of service, procedure codes, diagnosis codes, and any modifiers.
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If necessary, include information about any previous treatments or conditions that may be relevant to the current service being billed.
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Lastly, review the completed form for accuracy and completeness before submitting it to the appropriate billing entity or healthcare payer.

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The lacdmh 837 5010 companion is typically needed by healthcare providers or entities who are submitting claims for services provided to patients.
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The lacdmh 837 5010 companion is a standardized electronic transaction used for submitting healthcare claims to the Los Angeles County Department of Mental Health (LACDMH).
Healthcare providers and facilities that provide mental health services and submit claims to LACDMH are required to file the lacdmh 837 5010 companion.
The lacdmh 837 5010 companion can be filled out using electronic data interchange (EDI) software that is capable of generating the required format for LACDMH.
The purpose of the lacdmh 837 5010 companion is to facilitate the electronic submission of healthcare claims for mental health services to LACDMH, streamlining the billing process.
The lacdmh 837 5010 companion must include information such as patient demographics, diagnosis codes, procedure codes, service dates, and billing information.
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