837 Professional Defaults

Manage 837 Professional electronic billing file information.

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This information is used in the 837 Health Care Claim Professional form to create the 837P file.

• This form creates a batch (temporary file), to store entries and selections made for a group of remittance postings.

• The batch can be used to save the user's work in progress, letting that user return to their work at a later time.

• Batches can be submitted through claims processing forms.

• Batches can be added to the 837P file in the 837 Outbound Processing form.

Prerequisites:

• An 837P file must be compiled and posted in the 837 Health Care Claim Professional form.

1. In the Select Client screen search for and select the client by name or ID.

2. If the member's information is contained in a posted 837P file, the pre-display dialog displays.

• Select the client record, click Edit.

• Or click Add to create a new record.

3. In the Funding Source field, select the funding source.

• This field populates for funding sources in the 837P file.

4. In the Contracting Provider field, select the contracting provider.

5. In the 'Subscriber' fields, enter information to populate the associated loops in the 837P file.

6. When finished, click Submit.