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5010 ANSI ASC X12N 837 Dental HLA Data Specifications LoopPositionSegment DISA ISA01 ISA02 ISA03 ISA04 ISA05 ISA06 ISA07 ISA08 ISA09 ISA10 ISA11 ISA12 ISA13 ISA14 ISA15 ISA16 GS GS01 GS02 GS03 GS04Segment

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How to fill out mainecaremainegovclaim submission manualsedimainecare 837

01

Obtain the MaineCare provider manual and familiarize yourself with the requirements for claim submission.

02

Gather all necessary patient information, including their MaineCare ID number.

03

Fill out the 837 form according to the specifications outlined in the manual.

04

Double-check all information for accuracy before submitting the claim.

05

Submit the completed claim electronically through the MaineCare portal or via mail as instructed in the manual.

Who needs mainecaremainegovclaim submission manualsedimainecare 837?

01

Healthcare providers and facilities who provide services to patients covered under MaineCare need to fill out MaineCare claims using the 837 form.

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What is mainecaremainegovclaim submission manualsedimainecare 837?

Mainecaremainegovclaim submission manualsedimainecare 837 is the electronic format used for submitting claims to the MaineCare program.

Who is required to file mainecaremainegovclaim submission manualsedimainecare 837?

Healthcare providers and facilities that provide services to MaineCare beneficiaries are required to file mainecaremainegovclaim submission manualsedimainecare 837.

How to fill out mainecaremainegovclaim submission manualsedimainecare 837?

Mainecaremainegovclaim submission manualsedimainecare 837 must be filled out electronically using the standard HIPAA transaction format.

What is the purpose of mainecaremainegovclaim submission manualsedimainecare 837?

The main purpose of mainecaremainegovclaim submission manualsedimainecare 837 is to request reimbursement for services provided to MaineCare beneficiaries.

What information must be reported on mainecaremainegovclaim submission manualsedimainecare 837?

Mainecaremainegovclaim submission manualsedimainecare 837 should include information such as patient details, services provided, diagnosis codes, and billing information.

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