Electronic processing of insurance claims and payment data Forms for San Antonio
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FAQ
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.
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.
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.
When printing a Blank CMS 1500 form, the claim form itself will print in red, as is seen on the pre-printed forms, and the claim information will print in black ink. For the claim form to print in red, you will need to make sure that they print to a color printer.
The Health Insurance Claim form, CMS-1500, is used by Allied Health professionals, physicians, laboratories and pharmacies to bill for supplies and services provided to Medi-Cal recipients.