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Click ‘Get Form’ to open the ub 04 to 837i mapping document in the editor.
Begin by reviewing the header section, where you will input essential information such as the provider's name and NPI number. Ensure accuracy as this data is crucial for claims processing.
Move on to the patient information section. Fill in details like the patient's name, date of birth, and insurance policy number. This information must match what is on file with the insurance company.
Next, complete the service details section. Here, you will enter codes for procedures performed, including dates of service and place of service codes. Double-check these entries against your records for precision.
Finally, review all sections for completeness and accuracy before saving your work. Utilize our platform’s features to sign and distribute your completed form seamlessly.
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What is an 837 File? An 837 file is an electronic file that contains patient claim information. This file is submitted to an insurance company or to a clearinghouse instead of printing and mailing a paper claim. The data in an 837 file is called a Transaction Set.
What is the CMS 837 format?
The 837P (Professional) is the standard format used by health care professionals and suppliers to transmit health care claims electronically. The Form CMS-1500 is the standard paper claim form to bill Medicare Fee-For-Service (FFS) Contractors when a paper claim is allowed.
What is an 837I?
The 837I is the standard format institutional providers use to submit health care claims electronically.
What is the difference between UB-04 and 837I?
While the UB-04 form is available in paper format, the vast majority of claims today are submitted electronically using the 837I transaction set, which mirrors the UB-04 field structure but complies with HIPAA electronic data interchange (EDI) standards.
What is the difference between 837I and ub04?
The UB-04, also known as CMS-1450, is a paper claim form that facilities can complete and submit by mail, fax, or scan. It is still accepted by many payers but is slower to process as it requires manual handling and corrections. On the other hand, the EDI 837I is the electronic version of the claim.
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Sunshine Health only accepts the CMS 1500 (8/05) and CMS 1450 (UB-04) paper claim forms. Other claim form types will be rejected and returned to the provider.
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