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10. IEP 5010 837P PROFESSIONAL IEP DUALCHOICE
ENCOUNTER COMPANION GUIDE
IEP DualChoice Encounter
Companion Guide (CG) Transaction Information
Effective January 01, 20243
IEP Instructions related to
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01
Obtain the 10 iehp 5010 837p form from the relevant authority or website.
02
Fill in the patient's information, including name, address, and contact details.
03
Provide the healthcare provider's information, such as name, address, and National Provider Identifier (NPI) number.
04
Include the date of service, relevant diagnosis codes, and procedure codes for each service provided.
05
Enter the billed amount for each service, as well as any applicable modifiers or units.
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Submit the filled-out 10 iehp 5010 837p form to the designated recipient or payer.
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Keep a copy of the form for your records.
Who needs 10 iehp 5010 837p?
01
Healthcare providers who need to submit claims for reimbursement from insurance companies or government payers.
02
Billing departments in healthcare facilities that process claims and invoices for services rendered.
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Health insurance companies that require standardized claim forms for processing payments.
04
Government agencies or programs that provide healthcare coverage and reimburse healthcare providers for services.
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What is 10 iehp 5010 837p?
The 10 IEHP 5010 837P is a specific format of the 837 Professional Claim, which is used for submitting healthcare claims electronically for medical services under the IEHP (Inland Empire Health Plan) Medicaid program.
Who is required to file 10 iehp 5010 837p?
Providers who deliver healthcare services covered under the IEHP Medicaid program and wish to submit claims electronically are required to file the 10 IEHP 5010 837P.
How to fill out 10 iehp 5010 837p?
To fill out the 10 IEHP 5010 837P, providers need to complete all mandatory fields such as patient information, provider details, services provided, and taxonomy codes, ensuring compliance with the specific formatting requirements of the 5010 standard.
What is the purpose of 10 iehp 5010 837p?
The purpose of the 10 IEHP 5010 837P is to facilitate the electronic submission of healthcare claims to streamline processing and reimbursement for medical services rendered.
What information must be reported on 10 iehp 5010 837p?
Information that must be reported includes patient demographics, service dates, procedure codes, diagnosis codes, provider credentials, and total billed amounts.
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