Electronic processing of insurance claims and payment data Forms for Collin

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FAQ

Contact your doctor or supplier, and ask them to file a claim. If they don't file a claim, call us at 1-800-MEDICARE (1-800-633-4227). TTY: 1-877-486-2048. Ask for the exact time limit for filing a Medicare claim for the service or supply you got.

The 837i is the electronic version of the paper form UB-04. 837i files are used to transmit institutional claims. Institutional claims are those submitted by hospitals and skilled nursing facilities. The 837p is the electronic version of the CMS-1500 form. 837p files are used to transmit professional claims.

The 837P (Professional) is the standard format health care professionals and suppliers use to send health care claims electronically. The ANSI ASC X12N 837P (Professional) Version 5010A1 is the current electronic claim version.

What is Remittance Advice? Remittance advice is the information a payer sends along with payments and/or claim denials. Essentially, it's an accounting of the amount billed, the amount disallowed (if any), any copayments, coinsurance or deductible amounts and reserves, as well as the amount reimbursed.

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.

An electronic claim is a paperless patient claim form generated by computer software that is transmitted electronically over telephone or computer connection to a health insurer or other third-party payer (payer) for processing and payment.