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COMMONWEALTH OF VIRGINIAEncounter Processing Solution (EPS)Medicaid Enterprise System (MES)
Companion Guide
For 837 Professional Health Care and
Transportation Encounter Transactions
ASC X12N 837
VERSION
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How to fill out 837 health care claim
How to fill out 837 health care claim
01
To fill out a 837 health care claim, follow these steps:
02
Start by entering the patient's personal information, including their name, date of birth, and address.
03
Provide the patient's insurance information, including the policy number and group number.
04
Indicate the reason for the claim by selecting the appropriate diagnosis codes.
05
Fill in the details of the services provided, including the date, procedure codes, and charges.
06
Include any necessary supporting documentation, such as medical records or referral forms.
07
Calculate the total charges and indicate if any payments have already been made.
08
Double-check all the information for accuracy and completeness.
09
Submit the completed 837 health care claim to the appropriate payer for processing.
Who needs 837 health care claim?
01
Anyone who provides or receives healthcare services may need to use a 837 health care claim form.
02
This includes healthcare providers such as doctors, hospitals, and clinics who need to submit claims for reimbursement.
03
Insurance companies and government health programs also require the use of the 837 form to process and adjudicate claims.
04
Additionally, individuals who receive healthcare services and want to submit a claim for reimbursement may need to fill out a 837 form.
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What is 837 health care claim?
837 health care claim is a standard electronic format used by healthcare providers to submit healthcare insurance claims.
Who is required to file 837 health care claim?
Healthcare providers, hospitals, clinics, and other healthcare entities are required to file 837 health care claim.
How to fill out 837 health care claim?
837 health care claim can be filled out using electronic health record (EHR) systems or medical billing software that supports the 837 format.
What is the purpose of 837 health care claim?
The purpose of 837 health care claim is to streamline the processing of healthcare insurance claims and ensure timely reimbursement for healthcare services.
What information must be reported on 837 health care claim?
Information such as patient demographics, diagnosis codes, procedure codes, and insurance information must be reported on 837 health care claim.
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