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HIPAA requires type of service codes and BCBSNC doesn . How do I file the professional 837 to have it pay correctly?

April 26, 2017BCBSNC file hipaa pay professional requires service type

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HIPAA requires type of service codes and BCBSNC doesn . How do I file the professional 837 to have it pay correctly?

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If the HIPAA Implementation Guide requires a segment or element, you must include it in the transaction, even if BCBSNC does not need this data to process the claim. Include the service codes when filing your 837 Professional Claims to ensure your transaction passes the Implementation Guide edits.