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State of Washington 837 Institutional Healthcare Claim Companion Guide Prepared by: ANSI September 2012 WAMMIS-CG-837I-CLAIMS-5010-01-01 Disclaimer This companion guide contains data clarifications
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How to fill out 837 institutional - health
How to fill out 837 institutional - health:
01
Start by obtaining the necessary forms. Visit the official website of the Centers for Medicare and Medicaid Services (CMS) to download the 837 institutional - health form.
02
Carefully read the instructions provided with the form. Familiarize yourself with the specific requirements and guidelines for filling out the form accurately.
03
Begin by providing basic information about the healthcare provider or institution submitting the claim. This includes the name, address, contact details, and any applicable identifiers such as the National Provider Identifier (NPI) or Medicaid Provider Number.
04
Identify the patient for whom the claim is being filed. Fill in the patient's personal details, including their name, date of birth, gender, and insurance information. Ensure all information is accurate and up to date.
05
Specify the details of the healthcare services rendered. This includes providing the date of service, the CPT or HCPCS codes corresponding to the procedures performed, and the diagnosis codes (ICD-10) supporting the medical necessity of the services.
06
Indicate the billing information. This involves entering the charges for each service provided, including any applicable modifiers or adjustments. Use the appropriate fields to detail the charges, units, and total amounts.
07
Include information about the facility where the services were provided. This may require entering the name, location, and other relevant details of the healthcare institution.
08
If applicable, include any accompanying documentation or attachments required to support the claim. This may include medical records, operative reports, or any necessary documentation for Medicare secondary payer situations.
09
Review the completed form for accuracy and completeness. Double-check all entered information, ensure all required fields are filled, and verify that the data aligns with the provided instructions.
Who needs 837 institutional - health?
01
Healthcare providers or institutions that are submitting insurance claims for institutional health services may need to use the 837 institutional - health form. This includes hospitals, outpatient facilities, nursing homes, rehabilitation centers, and other similar entities.
02
Healthcare providers participating in the Medicare or Medicaid programs in the United States will typically use the 837 institutional - health form to file claims for reimbursement. It is important to adhere to the specific requirements outlined by CMS and the respective insurance carriers.
03
Healthcare billing professionals, coders, or administrators who handle the claims submission process on behalf of healthcare institutions may also need to be familiar with the 837 institutional - health form. They play a crucial role in accurately completing and submitting the form to facilitate proper reimbursement for healthcare services.
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What is 837 institutional - health?
837 institutional - health is a claim form used by healthcare providers to submit billing information for institutional healthcare services such as hospital stays, surgeries, and long-term care.
Who is required to file 837 institutional - health?
Healthcare providers and institutions that provide institutional healthcare services are required to file 837 institutional - health.
How to fill out 837 institutional - health?
837 institutional - health can be filled out electronically using a healthcare billing software or manually using the paper form provided by the payer.
What is the purpose of 837 institutional - health?
The purpose of 837 institutional - health is to submit billing information for institutional healthcare services to insurance companies and government payers for reimbursement.
What information must be reported on 837 institutional - health?
Information such as patient demographics, diagnosis codes, procedure codes, and billing amounts must be reported on 837 institutional - health.
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