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IEHP 5010 INSTITUTIONAL 837I COVERED CALIFORNIA ENCOUNTER COMPANION GUIDE Standard Companion Guide (CG) Transaction Information IEHP Covered California Effective January 1, 2024 IEHP Instructions

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How to fill out iehp 5010 837i institutional

01

Gather all necessary information such as patient demographics, provider information, service codes, and billing information.

02

Ensure you have access to the appropriate software or platform for submitting electronic claims in the 5010 837i format.

03

Enter the patient's information accurately, including their name, date of birth, and insurance details.

04

Input the provider's information, including their name, address, and NPI number.

05

Include the service codes for the procedures or services provided to the patient.

06

Fill out the billing information, including the charges for each service, any adjustments or discounts, and the total amount owed.

07

Review the completed form for accuracy and completeness before submitting it electronically.

Who needs iehp 5010 837i institutional?

01

Healthcare providers who want to submit institutional claims electronically

02

Insurance companies who require institutional claims in the 5010 837i format for processing

03

Billing companies or clearinghouses that handle electronic claims submissions for healthcare providers

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What is iehp 5010 837i institutional?

The IEHP 5010 837i institutional is a standard electronic claim format used for submitting institutional healthcare claims to the Inland Empire Health Plan (IEHP). It is based on the HIPAA 5010 X12 format.

Who is required to file iehp 5010 837i institutional?

Healthcare providers and organizations that offer institutional services and wish to receive reimbursement from IEHP are required to file the 5010 837i institutional claims.

How to fill out iehp 5010 837i institutional?

To fill out the IEHP 5010 837i institutional claim, providers need to gather patient information, details about services provided, diagnosis codes, and billing codes, and enter them into the designated fields in the electronic claim format according to the specifications set by HIPAA.

What is the purpose of iehp 5010 837i institutional?

The purpose of the IEHP 5010 837i institutional is to facilitate the electronic submission of claims for reimbursement from health plans, ensuring efficient processing and adjudication of institutional healthcare services.

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

The information that must be reported includes provider identification, patient demographics, service dates, procedure codes, diagnosis codes, and billing amounts.

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