Electronic processing of insurance claims and payment data Forms for Palm Beach
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FAQ
When a healthcare service provider submits an 837 Health Care Claim, the insurance plan uses the 835 to help detail the payment to that claim. The 837-transaction set is the electronic submission of healthcare claim information.
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.
Broad Potential for Research and Longitudinal StudiesThe FH NPIC (National Private Insurance Claims) database includes information found on medical and dental claim forms for billions of services billed through private health insurance.
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.
Form CMS-1500 is the standard paper claim form used to bill an insurance for rendered services and supplies. It provides information about the client, their corresponding insurance policy, and their diagnosis and treatment. Additionally, most insurances allow you to send an electronic version, called an 837 file.
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.