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WEST VIRGINIA MEDICAID & CHILDREN HEALTH INSURANCE PROGRAM COMPANION GUIDE WV Medicaid & CHIP HIPAA Transaction Standard Companion Guide Refers to the Implementation Guides Based on ASC X12N version
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How to fill out vendor specifications 837 professional
How to fill out vendor specifications 837 professional
01
To fill out vendor specifications 837 professional, follow these steps:
02
Gather all the necessary information such as patient demographics, provider details, and the specific medical services being billed.
03
Start with the header segment and provide the required information such as the sender and receiver details, control numbers, and the transaction type.
04
Move on to the patient information segment and enter the patient's identifying details such as name, gender, date of birth, and address.
05
Enter the billing provider details in the appropriate segment, including the provider's NPI number, address, and contact information.
06
Fill out the service line information segment for each service being billed. Include the procedure codes, dates of service, units billed, and any relevant modifiers.
07
Continue to fill out the remaining segments such as the diagnosis codes segment, claim level adjustments segment, and the claim level control segment.
08
Review the completed vendor specifications 837 professional form for accuracy and completeness before submitting it for processing.
09
Finally, transmit the filled-out vendor specifications 837 professional electronically to the appropriate payer or clearinghouse.
Who needs vendor specifications 837 professional?
01
Vendor specifications 837 professional is needed by healthcare providers, medical billing companies, and other entities involved in submitting electronic claims to insurance payers.
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It is also required by healthcare software vendors and developers who need to ensure interoperability and compliance with industry standards for electronic claim submission.
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What is vendor specifications 837 professional?
Vendor specifications 837 professional refers to a standardized electronic format used to submit healthcare claims to payers for professional services rendered by healthcare providers.
Who is required to file vendor specifications 837 professional?
Healthcare providers, including physicians, therapists, and other professionals who render medical services and want to bill for them electronically are required to file vendor specifications 837 professional.
How to fill out vendor specifications 837 professional?
To fill out the vendor specifications 837 professional, providers must include patient demographics, insurance information, provider credentials, service dates, procedure codes, and any applicable modifiers as per the guidelines outlined by the payers.
What is the purpose of vendor specifications 837 professional?
The purpose of vendor specifications 837 professional is to provide a standardized method for submitting healthcare claims electronically, which streamlines the claims filing process and reduces administrative errors.
What information must be reported on vendor specifications 837 professional?
Information that must be reported includes patient identification details, provider information, service codes, diagnosis codes, procedures performed, dates of service, and billing amounts.
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