Get the free 837I Long Term Care Companion Guide - TMHP.com

837I Long Term Care Companion Guide ANSI ASC X12N 837I Health Care Claim Institutional Long Term Care COMPANION GUIDE February 17, 2015, Texas Medicaid & Healthcare Partnership Page 1 of 15 Print

How to fill out 837i long term care

How to fill out 837i long term care:

1. Gather all necessary information: Before starting to fill out the form, make sure you have all the required information ready. This includes patient information, provider details, diagnosis codes, procedure codes, and any other relevant information specific to the long term care being provided.
2. Begin with the basic identification details: Fill out the basic identification information at the top of the form, such as the patient's name, address, date of birth, and insurance details. Double-check this information for accuracy as any errors can lead to delays or denials.
3. Complete the patient information section: In this section, provide all relevant details about the patient's condition, such as the primary diagnosis, secondary diagnoses if applicable, and any other pertinent information regarding the patient's medical history. It's important to ensure that the diagnosis codes match the corresponding descriptions accurately.
4. Provide the provider information: On the form, you will find designated fields for the provider's name, address, National Provider Identifier (NPI) number, and other associated details. Fill these sections accurately to establish the provider's identity and ensure proper reimbursement.
5. Document the services provided: Detail all the services provided during the long term care, including the procedure codes and corresponding dates. This section should include a clear breakdown of each service, duration, and any other relevant information required for proper billing. Double-check the accuracy of the codes and descriptions to avoid potential claim denials.
6. Include supporting documentation: Be sure to attach any supporting documentation required by the payer or third-party administrator, such as medical records, prescriptions, or any other relevant documentation that validates the services provided.

Who needs 837i long term care?

1. Patients requiring extended or ongoing medical services: 837i long term care is necessary for individuals who require medical services over an extended period. This can include patients with chronic conditions, disabilities, or those who are in need of constant monitoring and care.
2. Healthcare providers offering long term care services: Providers such as hospitals, skilled nursing facilities, rehabilitation centers, or home healthcare agencies that offer long term care services need to use the 837i form to submit accurate and detailed information about the services provided to ensure proper reimbursement.
3. Insurance companies and third-party administrators: Insurance companies and third-party administrators require the 837i form to process, review, and reimburse claims for long term care services. This form provides them with the necessary information to determine the eligibility of services and ensure appropriate coverage.

By following the aforementioned steps and understanding who needs the 837i form, healthcare providers can effectively fill out the form and ensure accurate reimbursement for long term care services provided to patients in need.

For pdfFiller’s FAQs

How do I modify my 837i long term care in Gmail?

In your inbox, you may use pdfFiller's add-on for Gmail to generate, modify, fill out, and eSign your 837i long term care and any other papers you receive, all without leaving the program. Install pdfFiller for Gmail from the Google Workspace Marketplace by visiting this link. Take away the need for time-consuming procedures and handle your papers and eSignatures with ease.

How can I modify 837i long term care without leaving Google Drive?

People who need to keep track of documents and fill out forms quickly can connect PDF Filler to their Google Docs account. This means that they can make, edit, and sign documents right from their Google Drive. Make your 837i long term care into a fillable form that you can manage and sign from any internet-connected device with this add-on.

How can I send 837i long term care to be eSigned by others?

When you're ready to share your 837i long term care, you can send it to other people and get the eSigned document back just as quickly. Share your PDF by email, fax, text message, or USPS mail. You can also notarize your PDF on the web. You don't have to leave your account to do this.

What is 837i long term care?

837i is the standard format for electronic submission of institutional healthcare claims, specifically for long term care services.

Who is required to file 837i long term care?

Healthcare providers and institutions that provide long term care services are required to file 837i long term care.

How to fill out 837i long term care?

837i long term care can be filled out using an electronic health record system that is capable of generating the required format.

What is the purpose of 837i long term care?

The purpose of 837i long term care is to standardize the electronic submission of institutional healthcare claims for long term care services.

What information must be reported on 837i long term care?

Information such as patient demographics, diagnosis codes, procedure codes, provider information, and service dates must be reported on 837i long term care.