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MMS Replacement Project (MRP)Health Care Claim Dental (837) Transaction Standard Companion Guide Companion to Health Care Claim ASC X12N 837 005010×224 Implementation Guide September 2022 Version

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How to fill out 837 transaction standard companion

01

Obtain the necessary software to create and transmit the 837 transaction standard companion.

02

Identify the payer for which the claim will be submitted.

03

Enter the provider information including name, address, and National Provider Identifier (NPI).

04

Include the patient's information such as name, date of birth, and insurance ID number.

05

Fill out the claim details including date of service, procedure codes, diagnosis codes, and billed amounts.

06

Validate the completed form to ensure accuracy and compliance with the standard.

Who needs 837 transaction standard companion?

01

Healthcare providers and billing offices who submit electronic claims to insurance companies.

02

Insurance companies and other payers who receive and process healthcare claims electronically.

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What is 837 transaction standard companion?

837 transaction standard companion is a set of guidelines and rules established by the healthcare industry for electronic submission of healthcare claims.

Who is required to file 837 transaction standard companion?

Healthcare providers, insurance companies, and clearinghouses are required to file 837 transaction standard companion.

How to fill out 837 transaction standard companion?

To fill out 837 transaction standard companion, you need to use specific data elements and codes as outlined in the guidelines.

What is the purpose of 837 transaction standard companion?

The purpose of 837 transaction standard companion is to streamline the electronic submission of healthcare claims and improve efficiency.

What information must be reported on 837 transaction standard companion?

Information such as patient information, diagnosis codes, procedure codes, and billing information must be reported on 837 transaction standard companion.

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