Medical Claims Software for Windows

The paper filing program is designed to enter, save, validate, import and print CMS-1500 / HCFA-1500 claims. The electronic filing program creates the ANSI X12N 837P Version 5010A1 electronic claim file and can also print CMS-1500 claims. The right choice depends on how your payer or clearinghouse requires you to submit professional claims.

Choose CMS-1500 Paper Filing if you submit printed claim forms. Choose CMS-1500 Electronic Filing / 837P if a payer, clearinghouse, Medicare contractor, billing service or other submission channel requires an 837P file. If you need both electronic export and CMS-1500 printing, the electronic version supports both workflows.

No. The electronic program creates the 837P file on your computer. You then upload or send that file through the payer, clearinghouse, Medicare contractor, billing service or other electronic submission workflow you use.

Yes. The electronic filing program can create an 837P file from one claim or from multiple claim records, so it works for occasional electronic filing as well as batch workflows.

Yes. Both CMS-1500 programs support compatible Excel imports. The paper version uses imported records for bulk claim preparation and printing, while the electronic version can use imported records to create 837P files for multiple claims.

Yes. You can import supported Excel records, review the individual claims, validate the data and print the CMS-1500 claims without retyping every record.

Yes. In addition to creating 837P electronic claim files, the electronic version can print CMS-1500 claims on plain paper with black ink or on preprinted red-ink CMS-1500 forms.

No. The $99 paper filing program is intended for CMS-1500 paper claims. If you need an ANSI X12N 837P file, use the CMS-1500 Electronic Filing / 837P program.

The software checks required and commonly missed claim information and flags problems before you print a paper claim or create the electronic file. This helps you find data-entry errors earlier in the workflow.

No. Validation can help identify missing or incorrectly entered claim data, but it cannot guarantee payer acceptance, coverage, eligibility, coding approval, medical necessity or payment. Payers and clearinghouses can apply additional rules after submission.

Yes. Both programs let you save and retrieve claim records so you can review, edit and reuse information instead of starting from a blank claim each time.

No. These are Windows desktop programs, and your claim data stays in the local file location you choose. The software does not require you to store patient claim data in a MedClaimSoftware cloud account.

CMS-1500 Paper Filing is $99 for a one-year license for 1 computer. CMS-1500 Electronic Filing / 837P is $249 for a one-year license for 1 computer. One registration passcode is provided for the licensed computer.

Yes. Free trials are available for both the paper filing and electronic filing versions, and no credit card is required to download the trial.

HCFA-1500 is the older name many offices still use for the professional paper claim form now called CMS-1500. Our CMS-1500 paper and electronic filing products are built around the current professional claim workflow.