Tricia's Compilation for '837p vs 837i'

Barry DeBruin

Developed DataStage TX 8.0 HIPAA transactions including 271, 277, 835, 837P, and 837I mapped from cobal copybooks to X12. HMSA (BCBS Hawaii) Role: WTX Developer

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Submitter: rlhack
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Beginners Guide to EDI X12 (including HIPAA)

Yes, they are all targeted for specific sectors: 837P, 837I, 837D, and more etc. So you logically assume they are all identical. If you take two EDI X12 837s from two ...

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Submitter: gopackfan
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Comprehensive Instruction for Hospital Based Physician Services

What format is used to report physician and some outpatient services? a. UB-04 and 837p b. UB-04 and 837i c. CMS 1500 and 837p d. CMS 1500 and 837i

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Submitter: horaunlalay
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HIPAA Transaction Sets and Code Sets (HTSCS)

HTSCS 837 Professional Companion Guide Specifications 837P Companion Guide June 23, 2008 Version 4.7. The electronic version of this document is controlled.

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Submitter: tvolders
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THIRD PARTY BILLING IN THE NEW YORK MEDICAID PROGRAM

... claims status) 278: Prior Authorization and Service Authorization (electronic PA/SA/UT) 837P: Health Care Claim, Professional (electronic claim, fee-for-service) 837I ...

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Submitter: kupasadlao
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SDMC P2 Integrated Requirements V1.0

837I 837P O/M 10 DHS Non-permanent staffing to assist in performing revisions, including working with business experts Permanent staffing required to maintain the process.

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Submitter: rulmer
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At times, it may be necessary to void an encounter or several ...

A Claim Frequency Code of 1, 7, or 8 remains valid on an 837I, 837P or 837D with a Service Date greater than or equal to 9/1/2006. Requirement: Interim Bill ...

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Submitter: imdino
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HCSC Webinar

right vs. left appendage / side of the body) Chapters, categories, and ... Institutional [ 837I ] Professional [ 837P ] Dental [ 837D ] Remittance advice [ 835 ]

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Submitter: quoreflotrors
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837 Professional and Institutional Changes 4010A1 to 5010

Examples of these include; Ambulance pick-up and drop-off addresses EPSDT (837I) Condition Codes (837P) Present on Admission Indicator (837I) Support for ICD-10 CM and ...

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Submitter: mateo
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Title of Presentation

... to be the subscriber (same as eligibility) 837I provider ... on same claim Separate element added for tax number 837P ... Structure of ICD-9 vs ICD-10 ICD-9 3-5 characters First ...

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Submitter: henderson2735
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837P Health Care Claim Professional

IBC/KHPE 837P Provider Companion Guide V11.0 Rev. 09.20.07 - 1 - 837P Health Care Claim Professional Revision summary Revision Number Date Summary of Changes 6.0 5/27 ...

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Submitter: palon-mokup
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Transmittal Letter (RFP 4.2.1)

Transmittal Letter (RFP 4.2.1) The transmittal letter shall be signed by an individual authorized to legally bind the bidder. The letter shall include the bidder ...

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Submitter: jmaele1234
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HP Enterprise Business Template Angle Light 4:3 Purple

... affected by this upgrade: Institutional claims (837I) Dental claims (837D) Medical claims (837P) Pharmacy ... claim that has denied details will deny 4021-Procedure code vs ...

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Submitter: leon_yly
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Version 5010 HIPAA Upgrade

... to be the subscriber (same as eligibility)-837I provider ... element was added to the 837 to report tax number. 837P ... X12.org Closing Thoughts -Conversion Upgrading X12 -vs ...

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Submitter: vipr
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SDMC P2 Technical Requirements v1.0

If Suspense master continues, convert to 837 format and change record lengths, block sizes and file types to be compatible with HIPAA transactions 837i 837p T301, T209 ...

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Submitter: r9909
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The Health Insurance Portability and Accountability Act (HIPAA ...

For non-HIPAA transactions, production vs. test is determined based on which ... HIPAA 837I and 837P batches should have no more than 10,000 service lines.

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Submitter: atxsmile
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Guide to NPI Data Fields on the revised CMS-1500 and the ...

It is suggested that you consult with your practice management system vendor or claims clearinghouse to confirm that the 837P or CMS-1500 produced by your system will ...

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Submitter: karinboot
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HIPAA 5010

Q12 Will Wellmark provide a 277CA file to report the status of ANSI 5010 837P and 837I claims? A12 Wellmark will not be producing a 277CA file at this time.

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Submitter: gnatok
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835 Companion Guide

An 835 Payment Advice will be sent for all HIPAA Compliant 837P or 837I claims. See the companion guides for these transactions on our web site for more information ...

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Submitter: abdulhadi91
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Medical Code TAG Meeting Materials 03-23-10

Allina requesting regulatory citations which outline guidelines for separation of billing on 837I vs. 837P for these services. Tabled 03-11-10 pending more discussion ...

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Submitter: tencho88
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Slide 1

... location for all HCSD finance related subjects vs. the ... NDC) to the HIPAA compliant transaction data set (837I). ... Siemens, a conversion to the HIPAA compliant format (837P ...

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Submitter: beautifullydone
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HP Enterprise Business Template Angle Light 4:3 Purple

... testing dates will be provided at a future date HIPAA 5010 Transactions affected by this upgrade: Institutional claims (837I) Dental claims (837D) Medical claims (837P ...

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Submitter: rick52
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Managed Care Organizations (MCOs) and Regional Support Networks (RSNs)

If it is believed that place of service 11 Outpatient is needed, then these files should be submitted as 837P files, as opposed to 837I files. A: We believe there was some ...

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Submitter: cyrilo
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VA118-11-RI-0161 0004 ICD-10_RFI_ANALYSIS_SPECIFICATIONS_.DOCX

Claims intended for the CPE system (status of NEW) are extracted into flat files according to their claim type (837I, 837P, 837D and NCPDP B1, B2).

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Submitter: nabrosky
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Report (Vertical)

This is true for 837I and 837P transaction formats. The table below depicts the specific elements that should be addressed on an adjustment transaction.

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Submitter: knoli
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