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DENTAL INSURANCE INFORMATIONPrimary Insurance InformationSubscriber Information (Employee) Name : Social Security #: Date of Birth: Mailing Address: Employer/Policy Provider: Insurance Information:
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How to fill out 837 professional claim

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How to fill out 837 professional claim

01
Open the 837 professional claim form
02
Enter the patient's demographic information, including name, address, and insurance ID
03
Specify the date of service and the provider's information
04
Indicate the diagnosis and medical procedures performed
05
Include any supporting documents such as medical records or referral letters
06
Calculate and enter the charges for each procedure
07
Submit the completed form to the appropriate insurance company

Who needs 837 professional claim?

01
Healthcare providers and medical institutions who provide professional services
02
Medical billing and coding professionals
03
Insurance companies who process and reimburse medical claims

What is 837 Professional Claim - BCBSNC - PDF Free Download Form?

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The 837 professional claim is a standardized electronic format used by healthcare providers to submit claims for services provided to patients to health insurance plans.
Healthcare providers, including physicians, therapists, and other professionals who bill for services rendered, are required to file the 837 professional claim.
To fill out the 837 professional claim, healthcare providers must provide necessary patient and provider information, service details, diagnosis codes, billing codes, and submit the claim electronically using the appropriate software or clearinghouse.
The purpose of the 837 professional claim is to facilitate the billing process for healthcare services, ensuring accurate and efficient reimbursement from insurance companies.
The 837 professional claim must report patient demographics, provider details, dates of service, procedure codes, diagnosis codes, and charges associated with the services provided.
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