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New Hampshire MMS
Companion Guide to the
005010×222A1 Health Care
Claim: Professional (837)Conduct EDI Solutions
August 2017 2017 Conduct, Inc. All rights reserved. Conduct and Conduct Agile Star
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Who needs 005010x222a1?
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005010x222a1 is needed by organizations or individuals involved in electronic data interchange (EDI) systems.
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It is a specific format/version of an EDI transaction set used for exchanging information related to health care claims.
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Health care providers, insurance companies, health plans, and other entities involved in the processing, billing, or administration of health care claims often require 005010x222a1 for their operations.
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What is 005010x222a1?
005010x222a1 is a specific version of the HIPAA X12 837 transaction set used for healthcare claim submissions.
Who is required to file 005010x222a1?
Healthcare providers and institutions that submit claims electronically to insurance payers are required to file the 005010x222a1.
How to fill out 005010x222a1?
To fill out 005010x222a1, providers must complete the required fields according to the specifications set forth in the X12 guidelines, including patient information, service details, and billing codes.
What is the purpose of 005010x222a1?
The purpose of 005010x222a1 is to facilitate the electronic submission of healthcare claims, ensuring compliance with HIPAA regulations and streamlining the reimbursement process.
What information must be reported on 005010x222a1?
Required information includes patient demographics, healthcare provider details, claim lines with diagnostic codes, procedure codes, and billing amounts.
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