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Optum360 837 Claims Enrollment Updated: 1/31/2018Payer Name: Medicaid of New York (837I)Payer ID: 12K35Overview Complete all forms as instructed below and return them by mail for the additional processing
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How to fill out 837 claims enrollment
How to fill out 837 claims enrollment
01
Step 1: Gather all the necessary information and documents required to fill out the 837 claims enrollment form.
02
Step 2: Enter your organization's demographic information, such as the name, address, and contact details.
03
Step 3: Provide your organization's tax identification number, National Provider Identifier (NPI) number, and other relevant identifiers.
04
Step 4: Fill in the details of the individual or organization that will serve as the billing or pay-to provider.
05
Step 5: Specify the type of services or goods being provided and any relevant codes or identifiers.
06
Step 6: Enter the applicable diagnosis codes or procedure codes associated with the services provided.
07
Step 7: Include any necessary supporting documentation, such as medical records or invoices.
08
Step 8: Review and verify all the information provided in the form for accuracy and completeness.
09
Step 9: Sign and date the form, indicating your agreement to the terms and conditions.
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Step 10: Submit the completed 837 claims enrollment form to the appropriate organization or authority.
Who needs 837 claims enrollment?
01
Healthcare providers, medical facilities, and organizations that wish to submit claims electronically to insurance carriers or payers need to complete the 837 claims enrollment.
02
Medical billing and coding professionals, as well as billing service companies, would also require 837 claims enrollment to process and submit claims on behalf of healthcare providers.
03
Insurance carriers or payers may additionally require certain healthcare providers to enroll in the 837 claims system to ensure accurate and efficient claims processing.
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What is 837 claims enrollment?
837 claims enrollment is the process of electronically submitting healthcare claims to payers for reimbursement.
Who is required to file 837 claims enrollment?
Healthcare providers, such as hospitals, physicians, and other healthcare professionals, are required to file 837 claims enrollment.
How to fill out 837 claims enrollment?
837 claims enrollment can be filled out using electronic health record systems or billing software that is compliant with the HIPAA transaction standards.
What is the purpose of 837 claims enrollment?
The purpose of 837 claims enrollment is to streamline the claims submission process and improve efficiency in healthcare billing.
What information must be reported on 837 claims enrollment?
Information such as patient demographics, diagnosis codes, procedure codes, and insurance information must be reported on 837 claims enrollment.
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