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837 Health Care Claim Companion Guides Version 2.6 May, 2021For use with ASC X12N 837 Health Care Professionals and Institutional Transactions Set Implementation Guides and Addenda (Version HIPAA
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How to fill out 837 health care claim

01
Gather all necessary information such as patient demographics, insurance information, medical codes
02
Fill out the 837 health care claim form accurately and completely
03
Include all necessary attachments such as medical records or invoices
04
Submit the completed form to the appropriate health care payer either electronically or by mail

Who needs 837 health care claim?

01
Health care providers such as hospitals, clinics, and private practices who are submitting claims to insurance companies for reimbursement
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837 health care claim is an electronic transaction used by healthcare providers to submit healthcare claims to payers, such as insurance companies or government programs like Medicare or Medicaid.
Healthcare providers, such as hospitals, doctors, and clinics, are required to file 837 health care claims when submitting claims for services rendered to patients.
837 health care claims can be filled out using electronic health record (EHR) systems or specialized billing software that is capable of generating the required format for submission.
The purpose of 837 health care claim is to facilitate the electronic submission of healthcare claims in a standardized format, making the claims processing more efficient and reducing paperwork.
Information that must be reported on 837 health care claim includes patient demographics, provider information, diagnosis and procedure codes, and insurance coverage details.
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