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Medicare Billing: CMS-1500 & 837P

Implementation Guides

You must comply with the ASC X12N implementation guides developed for health care professionals and suppliers.

The guides offer specific technical instructions for carrying out each HIPAA standard, including instructions on content and format requirements.

All health benefit payers can use these documents. They’re not specifically for Medicare.

The 837P Health Care Claim: Professional Implementation Guide is available from X12 by purchasing an X12 License. Visit the X12 licensing webpage to learn more.