CMS-1500 Paper Claim
$99 software
Best when your workflow calls for a printed professional claim.
- CMS-1500 paper form
- Print and alignment controls
- Save, retrieve, and validate
- Separate paper product
Electronic professional claims
837P Electronic Claim Software & CMS-1500 Electronic Claims
This guide explains the practical difference between a CMS-1500 paper claim and an 837P electronic professional claim, what MedClaimSoftware creates, and where the outside submission step begins.
$199CMS-1500 Electronic Claim Software — 837P
What is an 837P electronic claim?
The 837P is the standard electronic professional claim format used by health care professionals and suppliers. It serves the electronic professional-claim workflow that corresponds broadly to information submitted on the CMS-1500 paper claim form.
CMS identifies ANSI ASC X12N 837P Version 5010A1 as the current electronic professional claim version. Payers, Medicare Administrative Contractors, clearinghouses, and billing services may also have enrollment, connectivity, companion-guide, and other submission requirements.
Important distinction: MedClaimSoftware creates the 837P file. The actual transmission step happens outside the program through the submission route you use.
CMS-1500 paper vs. 837P electronic
837P Electronic Claim
$199 software
Best when your workflow requires an electronic professional claim file.
- 837P Version 5010A1 file creation
- Professional electronic claims
- Save, retrieve, review, and export
- External transmission step
How a professional electronic claim workflow works
1
Prepare
Enter the patient, insured, provider, diagnosis, service-line, and charge information needed for the professional claim.
2
Review
Review required claim information and correct obvious missing or inconsistent data before export.
3
Create 837P
Generate the professional electronic claim file from the desktop software.
4
Submit
Transmit the file through the payer, clearinghouse, MAC, billing service, or other electronic connection you use.
What people mean by “837P software” or “837P file generator”
837P software
Software used to prepare professional claim data and create an 837P electronic claim file.
CMS-1500 electronic claims
A common way to describe the electronic counterpart to a professional CMS-1500 paper-claim workflow.
Electronic medical claim software
A broader term for software that creates electronic health care claim transactions.
Professional electronic claim software
Software focused specifically on professional/supplier claims rather than institutional claim workflows.
837P file generator
A tool that creates the 837P file itself. File generation and actual transmission are separate steps.
Medicare 837P software
Software used as part of a Medicare professional electronic claim workflow, subject to the MAC’s EDI enrollment and connectivity requirements.
Do I need a clearinghouse?
That depends on the payer and the electronic connection available to you. Some organizations submit through a clearinghouse or billing service; Medicare professional claims may involve a Medicare Administrative Contractor and EDI enrollment/connectivity requirements. The 837P software does not replace those arrangements—it creates the claim file used in the workflow.
Free tools for electronic claims
Before purchasing, you can use the free 837P Validator & Viewer to inspect a sample or existing 837P file in a readable format and run basic structural checks. You can also download the free 837P software trial.
Ready to create professional 837P files?
CMS-1500 Electronic Claim Software is $199 for a one-year license and installation on up to 2 Windows computers.
Official reference information
For Medicare-specific electronic billing requirements, enrollment, claim instructions, and current transaction requirements, verify your workflow with CMS and your Medicare Administrative Contractor. Useful starting points include the CMS Medicare Billing: CMS-1500 & 837P booklet and the CMS Professional Paper Claim Form / electronic submission information.