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Medicare billing form cms 1500 and the 837 professional mln booklet page 3 of 13 icn 006976 june 2018 what are the 837p and form cms 1500 837p the 837p professional is the standard format used by health care professionals and suppliers to transmit. Most doctors cant produce 837 files directly so if they want to send electronic claims they must use a clearinghouse or billing agency that can produce the 837 files for them 0 comments add a comment. The edi 837 transaction set is the format established to meet hipaa requirements for the electronic submission of healthcare claim information the claim information included amounts to the following for a single care encounter between patient and provider a description of the patient. Page 1 version 114 november 24 2010 837 health care claim companion guide professional and institutional version 114 november 24 2010
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