Institutional claims definition

Institutional claims means claims for services that are submitted by institutional providers on a CMS Form 1450 or ANSI Accredited Standards Committee (ASC) X12 institutional claim format. These claims may be paid from either the Medicare Part A or Part B trust fund.
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Examples of Institutional claims in a sentence

  • Claims must be submitted electronically either through HIPAA Compliant Transaction Sets 820 – Premium Payment, 834 – Member Enrollment and Eligibility Maintenance, 835 – Remittance Advice, 837P – Professional claims, 837I – Institutional claims, or the LME/PIHP’s secure web based billing system.

  • Claims must be submitted electronically either through HIPAA Compliant Transaction Sets 820 – Premium Payment, 834 – Member Enrollment and Eligibility Maintenance, 835 – Remittance Advice, 837P – Professional claims, 837I – Institutional claims, or Alliance’s secure web based billing system.

  • Claims must be submitted to the LME/PIHP electronically either through HIPAA Compliant 5010 EDI Transaction Sets: 837P – Professional claims, 837I – Institutional claims, or through direct data entry in the LME/PIHP’s secure web based claims system.

  • Claims must be submitted electronically either through HIPAA Compliant Transaction Sets; 837P – Professional claims, 837I – Institutional claims, or the BH I/DD Tailored Plan’s secure web based billing system.

  • The Medicare encounter claims submitted to the State shall include: • Professional and Institutional claims submitted to CMS; • Part D Pharmacy claims submitted to CMS; and • Supplemental benefit claims.

  • Claims must be submitted electronically either through HIPAA Compliant Transaction Sets 820 – Premium Payment, 834 – Member Enrollment and Eligibility Maintenance, 835 – Remittance Advice, 837P – Professional claims, 837I – Institutional claims, or Alliance’s secure web-based billing system.

  • ClarEdi has issued to company certification through level 6 for Medical, Dental, and Institutional claims.

  • All claims must be submitted electronically either through HIPAA Compliant Transaction Sets 820 – Premium Payment, 834 – Member Enrollment and Eligibility Maintenance, 835 – Remittance Advice, 837P – Professional claims, 837I – Institutional claims, or the EASTPOINTE secure web based billing system.

  • Claims must be submitted electronically either through HIPAA Compliant Transaction Sets 820 – Premium Payment, 834 – Member Enrollment and Eligibility Maintenance, 835 – Remittance Advice, 837P – Professional claims, 837I – Institutional claims, or the PLAN’s secure web based billing system.

  • Institutional claims that meet standardized X12 EDI Transaction Standard: 837I - Institutional Claims.