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COMMONWEALTH OF VIRGINIAEncounter Processing Solution (EPS)Medicaid Enterprise System (MES) Companion Guide For 837 Institutional Health Care Encounter Transactions ASC X12N 837 VERSION 005010×223A2
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How to fill out ansi asc x12n 837i
How to fill out ansi asc x12n 837i
01
Gather all necessary information such as patient information, provider information, claim information, and service line details.
02
Start by entering the header segment to identify the sender and receiver of the transaction.
03
Fill out the patient information segment including patient name, date of birth, and gender.
04
Enter provider information including NPI, name, and address.
05
Provide claim information such as claim type, diagnosis code, and procedure code.
06
Add service line details including date of service, charges, and service codes.
07
Review the completed form for accuracy before submission.
Who needs ansi asc x12n 837i?
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Healthcare providers
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Health insurance companies
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Medical billing companies
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What is ansi asc x12n 837i?
ANSI ASC X12N 837I is a standard format used for the electronic submission of institutional healthcare claims.
Who is required to file ansi asc x12n 837i?
Healthcare providers and institutions are required to file ANSI ASC X12N 837I for submitting institutional healthcare claims.
How to fill out ansi asc x12n 837i?
ANSI ASC X12N 837I can be filled out using electronic data interchange (EDI) software that supports the format.
What is the purpose of ansi asc x12n 837i?
The purpose of ANSI ASC X12N 837I is to standardize the submission of institutional healthcare claims to insurance payers.
What information must be reported on ansi asc x12n 837i?
ANSI ASC X12N 837I must include patient information, provider details, diagnosis codes, procedure codes, and billing information.
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