Get 837p Claim Form

The 837P Claim Form is a standard format for submitting health care claims electronically, primarily used by health care professionals and suppliers. This guide provides a comprehensive overview of how to complete the form online, ensuring accurate and efficient claims submission.

Follow the steps to complete the 837P Claim Form online

1. Click the ‘Get Form’ button to access and open the 837P Claim Form in your preferred editor.
2. Review the header section of the form. Fill in your personal and provider information, including NPI (National Provider Identifier) and tax identification number, as required.
3. Complete the patient information section. Input the patient's details, including name, date of birth, and insurance policy number, ensuring accuracy.
4. In the diagnosis section, accurately enter the diagnosis codes corresponding to the patient’s condition. Use current ICD codes for accurate representation.
5. Fill out the procedure codes in the procedure section, referencing the Healthcare Common Procedure Coding System (HCPCS) or Current Procedural Terminology (CPT) codes as necessary.
6. Provide additional information in the service or procedure dates section, indicating when the services were rendered.
7. Complete the billing provider section, including contact information and details relevant to billing the claim.
8. Review all entries for accuracy. Check for completeness and confirm that all required fields are filled out correctly.
9. Save your changes and decide how to submit your completed form online. Options may include downloading it for submission, printing it for records, or sharing it with relevant parties.

Get started on submitting your 837P Claim Form online today!