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Nevada Medicaid
HIPAA Transaction
Standard Companion Guide
837 Health Care Claim/Encounter:
Professional Encounter (837P)The information in this Companion Guide is valid to use for the
certification/testing
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How to fill out 837 health care claimencounter
How to fill out 837 health care claimencounter
01
Start by identifying the patient and their insurance information.
02
Fill out the patient's personal details and demographics, including their name, address, and contact information.
03
Provide the patient's social security number or unique identification number.
04
Specify the patient's insurance coverage by including the insurance company name, policy number, and group number.
05
Document the patient's primary care provider or referring physician.
06
Include the dates of service and the diagnosis codes for the medical procedures or services rendered.
07
Provide the corresponding procedure codes and the charges for each service.
08
Specify any modifiers or additional information related to the services rendered.
09
Fill out the provider's information, including their name, NPI number, and contact details.
10
Submit the completed 837 health care claim encounter form electronically or through the designated submission method.
Who needs 837 health care claimencounter?
01
Medical billing professionals
02
Healthcare providers
03
Insurance companies
04
Healthcare facilities
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What is 837 health care claim/encounter?
837 health care claim/encounter is an electronic format used by healthcare providers to submit healthcare claims or encounter information to payers such as insurance companies.
Who is required to file 837 health care claim/encounter?
Healthcare providers, healthcare facilities, and billing companies are required to file 837 health care claim/encounter forms.
How to fill out 837 health care claim/encounter?
837 health care claim/encounter forms can be filled out using electronic health record (EHR) systems or billing software that supports the 837 format.
What is the purpose of 837 health care claim/encounter?
The purpose of 837 health care claim/encounter is to streamline the billing process between healthcare providers and payers, allowing for faster reimbursement and reduced administrative costs.
What information must be reported on 837 health care claim/encounter?
Information such as patient demographics, diagnosis codes, procedure codes, service dates, and insurance information must be reported on 837 health care claim/encounter forms.
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