Loading
            
                Get 837p Claim Form
How it works
- 
                    
Open form follow the instructions
 - 
                    
Easily sign the form with your finger
 - 
                    
Send filled & signed form or save
 
How to fill out the 837P Claim Form online
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
- Click the ‘Get Form’ button to access and open the 837P Claim Form in your preferred editor.
 - 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.
 - Complete the patient information section. Input the patient's details, including name, date of birth, and insurance policy number, ensuring accuracy.
 - In the diagnosis section, accurately enter the diagnosis codes corresponding to the patient’s condition. Use current ICD codes for accurate representation.
 - 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.
 - Provide additional information in the service or procedure dates section, indicating when the services were rendered.
 - Complete the billing provider section, including contact information and details relevant to billing the claim.
 - Review all entries for accuracy. Check for completeness and confirm that all required fields are filled out correctly.
 - 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!
Get form
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
        So, what is an 837 file? Basically, it's an electronic file that contains information about a patient claims. This form is submitted to a clearinghouse or insurance company instead of a paper claim. Claim information includes the following data for one encounter between a provider and a patient: A patient description.
Get This Form Now!
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
        Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
        - 
                    In businnes since 199725+ years providing professional legal documents.
 - 
                    Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
 - 
                    Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.