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ASC X12N/005010×222 HEALTH CARE CLAIM PROFESSIONAL (837) This Addendum to the Companion Guide is intended as an addition to the ASCX12 Implementation Guides adopted under HIPAA to clarify and specify
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How to fill out health care claim professional

01
Obtain the claim form from your health care provider or insurance company.
02
Fill out your personal information including your name, address, and contact information.
03
Provide details about the health care services you received such as the date of service, provider's name, and service codes.
04
Include any supporting documentation such as receipts or invoices.
05
Review the completed form for accuracy and completeness before submitting.

Who needs health care claim professional?

01
Anyone who has received health care services and is seeking reimbursement from their insurance company or health care provider.
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A health care claim professional is an individual or entity that processes and submits claims to insurance companies on behalf of healthcare providers.
Healthcare providers or their designated billing staff are required to file health care claim professional.
Health care claim professional is typically filled out electronically using specific billing software or online portals provided by insurance companies.
The purpose of health care claim professional is to request payment from insurance companies for healthcare services provided to patients.
Information such as patient demographics, diagnosis codes, procedure codes, and billing details must be reported on health care claim professional.
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