Get the free 837I Companion Guide - dmh lacounty

County of Los Angeles Department of Mental Health Contract Providers Transition Project (CTP) 837I Companion Guide Version 4.0 April 2008 County of Los Angeles Department of Mental Health 837I Companion

How to fill out 837i companion guide

Point by point instructions on how to fill out the 837i companion guide:

1. Start by gathering all the necessary information related to the healthcare claim that you are submitting. This includes patient details, provider information, dates of service, diagnosis codes, and procedure codes.
2. Familiarize yourself with the specific format and requirements of the 837i companion guide. This guide provides instructions on how to properly structure and format the claim for submission. Make sure to review all the sections and fields that need to be completed.
3. Begin filling out the 837i companion guide by accurately entering the patient's demographic information, such as their name, address, date of birth, and insurance information. Double-check all the details to ensure accuracy.
4. Proceed to enter the provider information, which includes the name, address, and identification numbers of the healthcare provider submitting the claim. This section may also require additional details like the supervising physician's information, if applicable.
5. Next, carefully input the dates of service for the procedures being claimed. This includes the start and end dates of the service, as well as any relevant admission, discharge, or service dates.
6. Include the diagnosis codes associated with the patient's condition or illness. These codes, commonly referred to as ICD-10 codes, help identify the medical necessity of the procedures being claimed. Ensure that the diagnosis codes are accurately selected and properly sequenced.
7. Enter the procedure codes for the services rendered. These are usually represented by the Current Procedural Terminology (CPT) codes or Healthcare Common Procedure Coding System (HCPCS) codes. Make sure to include the corresponding units, charges, and modifiers, if applicable.
8. If required by the companion guide, provide any additional supporting documentation or attachments that are necessary for the claim. This may include clinical notes, operative reports, or other relevant documentation to justify the services provided.
9. Review the completed 837i companion guide thoroughly to ensure that all the required fields have been filled out accurately. Double-check any calculations and verify that the information is consistent with the supporting documentation.

Who needs the 837i companion guide?

1. Healthcare providers, such as hospitals or medical clinics, who submit claims for reimbursement from insurance companies or government healthcare programs.
2. Billing and coding professionals who handle claims submission on behalf of healthcare providers.
3. Insurance companies or government agencies that receive and process healthcare claims for reimbursement purposes.

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What is 837i companion guide?

837i companion guide is a document that provides instructions and specifications for electronic claims submission using the 837i format.

Who is required to file 837i companion guide?

Healthcare providers and entities that submit institutional claims electronically are required to file the 837i companion guide.

How to fill out 837i companion guide?

The 837i companion guide must be completed by following the instructions provided in the guide and entering the required information accurately.

What is the purpose of 837i companion guide?

The purpose of the 837i companion guide is to ensure that electronic institutional claims are submitted correctly and in compliance with the formatting and data requirements.

What information must be reported on 837i companion guide?

The 837i companion guide must include information such as patient demographics, provider details, diagnosis codes, procedure codes, and other relevant claim details.