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Electronic Data Interchange Transaction Set Implementation Guide Instructions for the HIPAA transaction Companion Guide837P Professional ClaimsSecondary/Tertiary Claims to Blue Shield of CaliforniaPlease

How to fill out 837 professional secondary tertiary

How to fill out 837 professional secondary tertiary

1. To fill out the 837 professional secondary tertiary form, follow these steps:
2. Start by providing the patient information, including their name, address, and contact details.
3. Next, fill in the provider information, such as the name, National Provider Identifier (NPI), and contact information.
4. Specify the type of transaction being submitted by entering the appropriate code.
5. Enter the service line details, including the procedure code, date of service, and any relevant modifiers.
6. Provide the diagnosis codes associated with the services rendered.
7. Include any applicable attachments and supporting documentation.
8. Review the completed form for accuracy and completeness before submission.
9. Submit the filled-out form electronically or via mail, as per the requirements of the payer or clearinghouse.
10. Note: It is essential to refer to the specific guidelines and instructions provided by the payer or clearinghouse for accurate completion of the 837 professional secondary tertiary form.

Who needs 837 professional secondary tertiary?

1. Healthcare providers, such as hospitals, clinics, and medical professionals, who offer secondary and tertiary medical services need to fill out the 837 professional secondary tertiary form.
2. Insurance companies and other payers require this form to process claims for secondary and tertiary medical services effectively.
3. Medical billing and coding professionals involved in claims processing and revenue cycle management also utilize the 837 professional secondary tertiary form.

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What is 837 professional secondary tertiary?

837 professional secondary tertiary refers to the standard format used for electronic claims submitted by healthcare providers for secondary and tertiary insurance coverage.

Who is required to file 837 professional secondary tertiary?

Healthcare providers, such as doctors, hospitals, and clinics, are required to file 837 professional secondary tertiary when submitting electronic claims for secondary and tertiary insurance coverage.

How to fill out 837 professional secondary tertiary?

To fill out 837 professional secondary tertiary, healthcare providers must input specific information about the patient, diagnosis, procedures, and insurance coverage in the standard format.

What is the purpose of 837 professional secondary tertiary?

The purpose of 837 professional secondary tertiary is to streamline the electronic claims process and ensure accurate and timely reimbursement for healthcare services provided.

What information must be reported on 837 professional secondary tertiary?

Information such as patient demographics, healthcare provider details, diagnosis codes, procedural codes, and insurance information must be reported on 837 professional secondary tertiary.