ASC X12 837P

Acronym: EDI

The 837P (Professional) is the standard format used by health care professionals and suppliers to transmit health care claims electronically. Health care professionals or suppliers billing electronic claims must comply with the ASC X12N implementation guide. The 837P Health Care Claim: Professional Implementation Guide is available for purchase and provides instructions on the content and format requirements for each of the standards’ requirements. ASC X12N implementation guides are the specific technical instructions for implementing each of the adopted HIPAA standards and provide instructions on the content and format requirements for each of the standards’ requirements. These documents are written for all health benefit payers, not specifically for Medicare. You can purchase Implementation Guides, including Version 5010 Consolidated Guides from the Washington Publishing Company. CMS publishes a companion guide to supplement the implementation guide and to provide further instruction specific to Medicare. The 5010A1 Part B 837 Companion Guide provides specific 837P claim loop and segment references.