Get the free 837 Professional DME Companion Guide, June 2015

Medicare Encounter Data System Standard Companion Guide Transaction Information Instructions related to the 837 Health Care Claim: Durable Medical Equipment (DME) Supplier Professional Transaction

How to fill out 837 professional dme companion

How to fill out 837 professional dme companion:

1. Begin by gathering all necessary information, such as patient demographic data, insurance information, and a detailed description of the durable medical equipment (DME) being provided.
2. Ensure you have the correct version of the 837 professional dme companion form, as it may vary depending on the specific requirements of the insurance provider.
3. Start filling out the patient's personal information, including their name, date of birth, address, and contact details. Double-check the accuracy of this information, as any errors could lead to claim denials.
4. Next, input the patient's insurance information, including their policy number, group number, and the name of the insurance company. Make sure to verify the insurance coverage and any specific requirements for DME reimbursement.
5. Provide a detailed description of the durable medical equipment being provided. This includes the name of the item, its diagnosis code, quantity, price, and any modifiers necessary for correct billing.
6. If applicable, fill out any additional information or documentation necessary for the claim, such as prior authorization numbers or supporting medical documentation.
7. Review the completed 837 professional dme companion form for accuracy and completeness before submitting it. Ensure all necessary signatures and dates are included.
8. Finally, retain a copy of the completed form for your records and submit the form to the designated insurance claims department using the preferred method (e.g., mail, electronic submission).

Who needs 837 professional dme companion:

1. Healthcare providers who treat patients requiring durable medical equipment may need to fill out the 837 professional dme companion form. This includes physicians, physical therapists, occupational therapists, and other healthcare professionals.
2. Durable medical equipment suppliers and vendors who provide equipment such as wheelchairs, prosthetics, or orthotics may also need to complete the 837 professional dme companion form when billing the insurance company for reimbursement.
3. It is important to note that the specific requirements for needing the 837 professional dme companion form may vary depending on the insurance provider and the type of durable medical equipment being provided. It is essential to check the insurance company's guidelines and policies to determine whether this form is necessary.

For pdfFiller’s FAQs

What is 837 professional dme companion?

837 professional DME companion is a standard electronic format for submitting healthcare claims for durable medical equipment (DME) services rendered by healthcare providers.

Who is required to file 837 professional dme companion?

Healthcare providers who provide DME services and want to submit electronic claims are required to file 837 professional DME companion.

How to fill out 837 professional dme companion?

837 professional DME companion can be filled out using healthcare practice management software or billing software that supports the 837 format. Providers need to input patient information, service codes, and other relevant data.

What is the purpose of 837 professional dme companion?

The purpose of 837 professional DME companion is to streamline the submission of healthcare claims for DME services, reduce administrative burden, and improve accuracy and efficiency in claims processing.

What information must be reported on 837 professional dme companion?

Information such as patient demographics, provider information, service codes, diagnosis codes, service dates, and payment amounts must be reported on 837 professional DME companion.

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