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Medicare Billing: 837P & Form CMS-1500

Lesson Layout

The following pages describe the data elements necessary for 837P and CMS-1500 Medicare claim completion and where to find the information required in those elements.

We show the information for each data element this way:

required icon situationally required icon

These icons show when Medicare requires the data element or if it's situational:

R
Required by Medicare
S
Situational
Table 4: Name of Data Element & Source
Name of Data ElementSource
This column describes the information required in the data element.This column will direct you to resources for this information.

The NUCC developed a crosswalk between the ASC X12N 837P and the Form CMS-1500 hard copy claim form: NUCC 1500 - 837P Map.