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Dean Health Plan Prevea360 Health Plan(underwritten by Dean Health Plan)HIPAA Transaction Health Care Claim Payment/Advice Standard Companion Guide (835, 005010×221A1) Instructions related to Transactions
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How to fill out 835 companion guide

How to fill out 835 companion guide
01
To fill out the 835 companion guide, follow these steps:
02
Start by gathering all the necessary information, such as the payer's name, address, and contact details.
03
Read the instructions provided with the guide to understand the specific requirements and guidelines.
04
Begin filling out the guide by entering the provider's name, NPI, and other identification information.
05
Proceed to the section for claim payment information and enter the necessary details, such as the claim amount, payment method, and reference numbers.
06
Fill out the claim adjustment information section if applicable, providing details on any adjustments made to the original claim.
07
Continue by entering information related to the patient, such as their name, identification number, and insurance details.
08
Finally, review the filled-out guide for any errors or missing information before submitting it to the appropriate entity.
Who needs 835 companion guide?
01
The 835 companion guide is typically needed by healthcare providers, billing offices, and other entities involved in electronic healthcare transactions.
02
It provides a standardized format and guidelines for generating the electronic remittance advice (ERA) or payment information for healthcare claims.
03
Insurance companies, clearinghouses, and other entities that handle electronic claims and payments also require the 835 companion guide to ensure compatibility and proper processing of transactions.
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What is 835 companion guide?
The 835 companion guide is a document that provides instructions and technical specifications for healthcare providers on how to submit electronic remittance advice.
Who is required to file 835 companion guide?
Healthcare providers and billing companies are required to file the 835 companion guide.
How to fill out 835 companion guide?
To fill out the 835 companion guide, healthcare providers need to follow the guidelines and specifications outlined in the document.
What is the purpose of 835 companion guide?
The purpose of the 835 companion guide is to standardize the format of electronic remittance advice in healthcare transactions.
What information must be reported on 835 companion guide?
The 835 companion guide must include details about the payment, adjustments, and reasons for any denials or rejections.
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