Guided Notes
Medical Billing: Claims, Remittances & Denials
Build and submit clean claims, read remittance advice, work denials with CARC/RARC codes, appeal, and manage accounts receivable.
Claim forms and electronic transactions
Slide 1 / 5| Paper form / EDI | Used for |
|---|---|
| CMS-1500 / 837P | Professional claims (physicians, outpatient providers) |
| UB-04 (CMS-1450) / 837I | Institutional claims (hospitals, facilities) |
| 270 / 271 | Eligibility inquiry / response |
| 276 / 277 | Claim status inquiry / response |
| 835 | Electronic remittance advice (payment explanation) |