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Medicare Billing: CMS-1500 & 837P

Lesson Layout

In Lesson 4 and Lesson 5, we describe the data elements necessary for CMS-1500 and 837P 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 3: Name of Data Element & Source
Name of Data ElementSource
This column describes the information required in the data element.This column directs you to resources for this information.

The NUCC developed a crosswalk between the ASC X12N 837P and the CMS-1500 hard copy claim form: 08/05 1500-837P Crosswalk.