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

Medicare Prescription Drug Program (Medicare Part D)

Professional Fees are billed on a CMS 1500 form or the 837P electronic claim and Facility Fees on a UB04 form or the 837i electronic claim. Can an organization with three ...

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Submitter: chaceit
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: gadaolerkm
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: elekpoz
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: arson_20
HIPAA 5010 Issues Challenges: 837 Claims

In version 4010 of the 837I, Present on Admission (POA) indicators, per CMS, are carried in the a fixed-length data string in the K3 segment. In version 5010, the POA ...

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Submitter: vanjz
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: bwebb
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: beautifullydone
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: kmill604
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: wljp22
HIPAA 2 VERSION 5010 AND ICD-10

The X12 5010 versions of the 837P, 837I, and 837D claims transactions contain numerous differences with the 4010 versions currently being processed in production.

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Submitter: dasfruitt
Claims Submission (837P) Questions

Claims Submission (837P) Questions I. General Data Related Questions NPI Numbers Q: We have multiple NPIs how do we bill? Q If we have multiple NPI numbers what do ...

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Submitter: richcp
Highmark Medicare Services EDI: [X12N Transaction User Guide]

Transactions/Miscellaneous Options: Select the Following: X12N 837I Claim ... Transactions/Miscellaneous Options: Select the Following: X12N 837P Claim ...

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Submitter: gane_pm
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: sri123
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: valerie2012
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: sparkplug601
Institutional and Professional Coordination of Benefits (COB ...

Institutional and Professional Coordination of Benefits (COB) Health Care Claim ANSI ASC X12N 837I and 837P Companion Document Health Insurance Portability and ...

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Submitter: rstfgbqa
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: taruas_pughyahoo-com
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: michelle7911
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: bleshy
Formatted Document

Department of Health Services. NOTICE OF REQUEST FOR PROPOSALS ARIZONA DEPARTMENT OF HEALTH SERVICES. 1740 West Adams Street. Phoenix, Arizona 85007

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Submitter: mivyeasersser
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: dennis03
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: dwnpxzig
Overview

Overview. Organization. The SNIP ID EDI Address project is cooperating with another project called the AFEHCT-WEDI Health Care Communications Security and ...

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Submitter: pfuhr
Companion Guide Professional and Institutional

Page 1 Version 1.14 November 24, 2010 . 837 Health Care Claim Companion Guide Professional and Institutional . Version 1.14. November 24, 2010

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Submitter: pauln
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: confused
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: beifemeetly
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: astig
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: acek74
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: binjo

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