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Health Care Claim Professional (837) Companion Guide Refers to the Implementation Guides Based on ASC X12 version 005010×222A1 January 2022Health Care Claim Professional (837) Companion GuideDisclosure
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How to fill out health care claim professional

01
Obtain the appropriate health care claim form from your insurance provider.
02
Enter your personal information including name, address, date of birth, and insurance policy number.
03
Provide details about the date and nature of the medical service received.
04
Include information about the healthcare provider who rendered the service, including their name, address, and National Provider Identifier (NPI) number.
05
Attach any necessary supporting documentation, such as itemized bills or receipts.
06
Review the completed form for accuracy and ensure all required fields are filled out.
07
Submit the claim form to your insurance provider either online, by mail, or in person.

Who needs health care claim professional?

01
Individuals who have received medical services and are seeking reimbursement from their health insurance provider.
02
Healthcare providers or billing professionals who are submitting claims on behalf of patients to insurance companies.
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Health care claim professionals are individuals or organizations responsible for submitting health insurance claims on behalf of healthcare providers to insurance companies or government programs.
Healthcare providers such as doctors, hospitals, clinics, or other entities providing medical services are required to file health care claim professionals.
Health care claim professionals can be filled out electronically using special software or manually by completing a paper form provided by the insurance company or government program.
The purpose of health care claim professionals is to request payment for medical services provided to patients from insurance companies or government programs.
Health care claim professionals must include information such as patient demographics, diagnosis codes, procedure codes, provider information, and billing codes.
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