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KY Medicaid MMS Batch Health Care Institutional Health Care Claim And Encounter Claims (837I) Companion Guide Version 3.5 FINAL Cabinet for Health and Family Services Department for Medicaid Services
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How to fill out KY MMIS 837I Companion:

01
Gather necessary information: Before filling out the KY MMIS 837I Companion, you will need to gather essential information. This includes the patient's demographic details, insurance information, and any relevant medical coding that may be required.
02
Understand the form: Familiarize yourself with the layout and sections of the KY MMIS 837I Companion form. This will help ensure that you provide accurate and complete information in the appropriate sections.
03
Begin with patient information: Start by entering the patient's name, address, date of birth, and other demographic details as required. Make sure to double-check for any errors or discrepancies before moving on.
04
Provide insurance information: Enter the necessary insurance details, including the insurance company's name, policy number, and any relevant identification numbers. If there are multiple insurance providers involved, make sure to complete all the required fields accordingly.
05
Include medical procedure information: Fill out the sections that pertain to the medical procedures or services provided accurately. This may involve specifying the procedure codes, diagnosis codes, and any other relevant information. Pay close attention to the specific requirements outlined in the form and provide all requested details.
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Document charges and billing information: Enter the charges associated with each service or procedure performed. Include information like the cost, date of service, and any applicable modifiers. Ensure that the billing information is accurate and aligns with the services provided.
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Verify all entered information: Carefully review all the information you have entered to ensure accuracy and completeness. Double-check for any typographical errors or missing data that may affect the reimbursement process.
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Submit the form: Once you have filled out all the required sections and verified the information provided, submit the KY MMIS 837I Companion form according to the designated submission processes. This may involve mailing the form or submitting it electronically, depending on the specific requirements.

Who needs KY MMIS 837I Companion?

01
Healthcare providers: Medical practitioners, hospitals, clinics, and other healthcare facilities that provide services to patients covered by the Kentucky Medicaid program may need to use the KY MMIS 837I Companion. This form enables them to submit accurate and detailed information regarding the services rendered and facilitates reimbursement.
02
Medical billing professionals: Individuals or companies responsible for medical billing and coding on behalf of healthcare providers may also require the KY MMIS 837I Companion. These professionals play a crucial role in ensuring that the form is filled out correctly and that all necessary information is provided to receive timely payment.
03
Insurance companies: Insurance companies processing claims for patients covered under the Kentucky Medicaid program may use the KY MMIS 837I Companion as a supporting document to assess the validity of claims and determine reimbursement amounts. It helps them understand the medical procedures performed, their associated charges, and the services covered under the patient's insurance policy.
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The KY MMIS 837I companion is an electronic data interchange (EDI) file format used for submitting healthcare claims by providers to the Kentucky Medicaid Management Information System (MMIS).
Healthcare providers, such as hospitals, physicians, and other healthcare professionals, who bill Medicaid in Kentucky are required to file the KY MMIS 837I companion for their claims.
Providers can use billing software that is capable of generating the KY MMIS 837I companion file format to fill out the required information for healthcare claims. They can then submit the file electronically to the Kentucky MMIS.
The purpose of the KY MMIS 837I companion is to streamline the process of submitting healthcare claims to the Kentucky Medicaid program, ensuring accurate and timely processing of claims for payment.
The KY MMIS 837I companion must include details such as patient demographics, diagnosis codes, procedure codes, provider information, and other pertinent data related to the healthcare services provided.
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