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IEP 5010 PROFESSIONAL 837P COVERED CALIFORNIA ENCOUNTER COMPANION GUIDE Standard Companion Guide (CG) Transaction Information IEP Covered California Effective January 1, 2024, IEP Instructions related

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What is iehp 5010 institutional 837i?

IEHP 5010 Institutional 837I is a standard electronic claim format used by healthcare providers to submit claims for institutional services and reimbursements to health insurance payers, specifically following the 5010 version of the HIPAA X12 format.

Who is required to file iehp 5010 institutional 837i?

Healthcare providers that offer institutional services, such as hospitals and skilled nursing facilities, and wish to receive reimbursement from health insurance plans like IEHP (Inland Empire Health Plan) are required to file the IEHP 5010 Institutional 837I.

How to fill out iehp 5010 institutional 837i?

To fill out the IEHP 5010 Institutional 837I, providers must ensure accurate patient information, service dates, diagnosis codes, procedure codes, billing provider details, and other required data fields are correctly entered in accordance with the 5010 guidelines set by the X12 standards.

What is the purpose of iehp 5010 institutional 837i?

The purpose of the IEHP 5010 Institutional 837I is to streamline the claims submission process for institutional healthcare services, allowing providers to electronically submit claims, reduce paperwork, and speed up the reimbursement process from IEHP and other insurers.

What information must be reported on iehp 5010 institutional 837i?

The IEHP 5010 Institutional 837I must include information such as patient demographics, provider identifiers, service dates, diagnosis and procedure codes, billing amounts, and any applicable adjustments or modifiers required for proper claim processing.

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