Which form is used to electronically submit insurance claims in healthcare?

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The X12 837 health care claim is the standard electronic format used for submitting healthcare claims to insurance companies. This format is part of the Accredited Standards Committee (ASC) X12 standard transaction sets and enables healthcare providers to transmit billing information electronically rather than using paper forms.

The X12 837 form can accommodate a wide range of healthcare claims, such as institutional, professional, and dental claims, making it versatile for various provider types and services. By utilizing this electronic method, healthcare entities benefit from improved efficiency, reduced errors, and quicker processing times compared to traditional paper claims, ultimately leading to faster reimbursement.

In contrast to the X12 837, the CMS 1500 form is a paper claim form used primarily for billing Medicare and other health insurance programs but does not facilitate electronic submissions. The Health insurance portability form is not related to claims submission; instead, it pertains to privacy and protecting patients' health information. The electronic billing statement is more of a general term that can refer to various billing practices but does not specifically denote an established format for electronic claims submissions, which is where the X12 837 comes in as the correct answer.

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