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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.
An 837 file is a HIPAA form used by healthcare providers to communicate healthcare claims to insurance providers electronically.
What does a claim filing indicator code identify? (A claim filing indicator code is an administrative code used to identify the type of health plan, such as a PPO.)
Answer. (1) provider information; (2) subscriber information; (3) payer information; (4) claim information; and (5) service line information.
The secondary health plan should be indicated in Block 9d of the CMS 1500 form. This block asks for the Other Insureds Policy or Group Number and is where you should include details of the secondary insurance policy[^1]. Accurate notation of the secondary health plan helps streamline the coordination of benefits.
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How to fill out a CMS-1500 form The type of insurance and the insureds ID number. The patients full name. The patients date of birth. The insureds full name, if applicable. The patients address. The patients relationship to the insured, if applicable. The insureds address, if applicable. Field reserved for NUCC use.
Final answer: The most common method of claim transmission is through the use of a clearinghouse. A clearinghouse checks and standardizes claims before they are transmitted to the insurance payers, making the process faster and more efficient.
The CMS-1500 form is the official standard Medicare and Medicaid health insurance claim form required by the Centers for Medicare Medicaid Services (CMS) of the U.S. Department of Health Human Services.

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