Get the free 837 Encounter Companion Guide to the HIPAA Implementation Guide - dhs mn

Minnesota Department of Human Services MINNESOTA HEALTH CARE PROGRAMS 837 Encounter Companion Guide to the HIPAA Implementation Guide Professional, Institutional, and Dental Claims Updated: 01/23/2014

How to fill out 837 encounter companion guide

How to fill out 837 encounter companion guide:

1. Gather necessary information: Before filling out the 837 encounter companion guide, make sure you have all the required information related to the encounter. This may include patient demographics, service dates, diagnosis codes, procedure codes, and any other relevant details.
2. Start with the header section: The header section of the 837 encounter companion guide typically requires information such as the submitter's name, contact information, and identification numbers. Ensure that this information is accurately entered to properly identify the submitter.
3. Enter patient details: Move on to the patient-specific information section, where you will need to provide details about the patient, including their name, address, date of birth, gender, and other demographic information. Make sure to double-check the accuracy of this information.
4. Include encounter information: In this section, you will need to enter details about the encounter or service provided. This may include the service date, referring physician information, procedure codes, and diagnosis codes. Ensure that these codes are entered correctly to accurately represent the services rendered.
5. Additional documentation, if required: Depending on the encounter or service being documented, there may be a need for additional documentation. This could include medical records, authorization forms, or any other supporting documentation. Make sure to attach any necessary documents as indicated.
6. Review and validate the information: Once you have filled out the 837 encounter companion guide, take the time to review all the entered information carefully. Look for any errors or discrepancies and correct them as needed. It is crucial to ensure the accuracy of the information before submission.

Who needs 837 encounter companion guide:

1. Medical billing professionals: Medical billing professionals who handle the submission of claims to insurance companies often need to use the 837 encounter companion guide. They rely on this guide to correctly document encounter information and ensure proper reimbursement for healthcare services.
2. Healthcare providers: Healthcare providers, such as physicians, hospitals, or other healthcare facilities, may need to use the 837 encounter companion guide to accurately document encounters with patients. This guide assists them in properly coding diagnoses and procedures, which is essential for effective communication with insurance payers.
3. Health insurance companies: Health insurance companies use the 837 encounter companion guide to process claims received from medical billing professionals and healthcare providers. This guide helps them understand the services rendered, the associated costs, and the appropriate reimbursement amounts.

Overall, the 837 encounter companion guide is essential for various stakeholders involved in the healthcare billing and claims process. It helps ensure accurate and efficient communication of encounter information between healthcare providers and insurance payers.

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What is 837 encounter companion guide?

837 encounter companion guide is a document that provides instructions and guidelines for submitting healthcare encounter information electronically in the 837 format.

Who is required to file 837 encounter companion guide?

Healthcare providers, clearinghouses, and health plans are required to file the 837 encounter companion guide when submitting healthcare encounter information.

How to fill out 837 encounter companion guide?

To fill out the 837 encounter companion guide, entities must follow the specific instructions outlined in the guide and provide accurate healthcare encounter information in the required format.

What is the purpose of 837 encounter companion guide?

The purpose of the 837 encounter companion guide is to ensure standardized electronic submission of healthcare encounter information, allowing for efficient processing and communication between healthcare entities.

What information must be reported on 837 encounter companion guide?

Information such as patient demographics, provider information, diagnosis codes, procedure codes, and other relevant healthcare encounter details must be reported on the 837 encounter companion guide.