Hello guys i am working on ediclaim837 i need some help with you guys
I have Some Doubts in filling Some values to Loop Segments and also please tell me from where i get this values and also tell me that which are the mandatory fields....
1.) Submitter Loop or Clearing House =====>Submitter Name,Submitter Id
2.) Receiver Loop or Insurance Company=====>Reciever Name,Receiver Id,
3.) Billing Provider =====>Billing Provider Id,Name,Address,Zip,ContactNumber,Billing Provider Tax Identification
4.) Claim Information =====>Claim identification Number,Patient Control Number,Total Amount Charge,Facility Code Qualifier,Frequency Type Code , Provider Signature Indicator,Provider Accept Assignment,Provider Benefits Assignment Certification(Yes for Valid Signature on File/No for No Valid Signature on File),Client Signature Source Code,Reference Identifier Code Qualifier,Reference ReferenceId,HealthCare Code Information,Health Care Diagnosis Code.
5.) Rendering Provider Loop ======>Rendering Provider Name,Identifier Code,Provider Taxonomy Code,Secondary Indentification Reference ID.
6.) Subscriber Loop ======>Patient Account Number,Policy/Group Number,Plan/Program,Medicare Secondary Payer(MSP) code,Member ID(Identification Code)
Hello guys i am working on ediclaim837 i need some help with you guys
I have Some Doubts in filling Some values to Loop Segments and also please tell me from where i get this values and also tell me that which are the mandatory fields....
1.) Submitter Loop or Clearing House =====>Submitter Name,Submitter Id
2.) Receiver Loop or Insurance Company=====>Reciever Name,Receiver Id,
3.) Billing Provider =====>Billing Provider Id,Name,Address,Zip,ContactNumber,Billing Provider Tax Identification
4.) Claim Information =====>Claim identification Number,Patient Control Number,Total Amount Charge,Facility Code Qualifier,Frequency Type Code , Provider Signature Indicator,Provider Accept Assignment,Provider Benefits Assignment Certification(Yes for Valid Signature on File/No for No Valid Signature on File),Client Signature Source Code,Reference Identifier Code Qualifier,Reference ReferenceId,HealthCare Code Information,Health Care Diagnosis Code.
5.) Rendering Provider Loop ======>Rendering Provider Name,Identifier Code,Provider Taxonomy Code,Secondary Indentification Reference ID.
6.) Subscriber Loop ======>Patient Account Number,Policy/Group Number,Plan/Program,Medicare Secondary Payer(MSP) code,Member ID(Identification Code)