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Get the free 837 Professional DME Companion Guide, September 2014

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Encounter Data System Standard Companion Guide Transaction Information Instructions related to the 837 Health Care Claim: Durable Medical Equipment (DME) Supplier Professional Transaction based on
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How to fill out 837 professional dme companion

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How to fill out the 837 professional DME companion:

01
Begin by gathering all necessary information. This includes the patient's demographic information, such as their name, date of birth, and contact details. You will also need their insurance information, including the policy number and group number.
02
Next, identify the specific DME (durable medical equipment) being provided to the patient. This could include items such as wheelchairs, oxygen tanks, or diabetic supplies. Make sure to have the appropriate HCPCS (Healthcare Common Procedure Coding System) codes for each item.
03
Complete the "Billing Provider Information" section. This includes providing the name, address, and contact information of the healthcare provider or organization submitting the claim.
04
Fill out the "Rendering Provider Information" section. This is where you provide the details of the healthcare professional who is ordering or providing the DME. Include their name, NPI (National Provider Identifier) number, and contact information.
05
Enter the patient's diagnosis code. This is an alphanumeric code that represents the reason for the DME. The ICD-10 (International Classification of Diseases, Tenth Revision) codes are typically used.
06
Specify the dates of service. Indicate when the DME was ordered and when it was or will be delivered to the patient.
07
Include the relevant information pertaining to the DME. This includes the HCPCS code for each item, the quantity provided, and any additional modifiers or descriptions as required.
08
Add any necessary attachments or documentation. This could include supporting documents such as medical records, prescriptions, or prior authorization forms.
09
Finally, review the completed form for accuracy and completeness before submitting it electronically or via mail to the insurance company for processing.

Who needs 837 professional DME companion?

01
Healthcare providers or organizations that are involved in providing and billing for durable medical equipment (DME) to patients.
02
Medical professionals who order or prescribe DME for their patients and need to document and submit claims for reimbursement.
03
Insurance companies or payers who require accurate and detailed documentation in order to process claims and provide reimbursement for DME services.
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837 professional DME companion is an electronic claim submission format used by healthcare providers to bill insurance companies for durable medical equipment (DME) services.
Healthcare providers, such as doctors, hospitals, and clinics, are required to file 837 professional DME companion forms when billing for DME services.
To fill out 837 professional DME companion forms, healthcare providers must enter detailed information about the patient, the services provided, and the costs associated with the DME services.
The purpose of 837 professional DME companion is to facilitate the billing process for DME services and ensure accurate reimbursement for healthcare providers.
Information such as patient demographics, diagnosis codes, procedure codes, provider information, and service dates must be reported on 837 professional DME companion forms.
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