What is an 837P claim?
The 837P is the standard electronic format used by health care professionals and suppliers to transmit professional health care claims. It is the electronic counterpart to the CMS-1500 professional paper claim workflow.
Electronic professional claim software
CMS-1500 Electronic Claim Software — 837P
Create professional 837P electronic claim files for your payer, clearinghouse, Medicare contractor, or other electronic submission workflow.
Prepare CMS-1500 professional claim information in a Windows desktop workflow, review the claim, and create ANSI ASC X12N 837P Version 5010A1 files. The software creates the file; it does not transmit claims directly.
$1991-year license · Install on up to 2 computers
Windows desktop software 837P professional claims U.S. support
File creation, not direct transmission: Submit the exported 837P through the payer, MAC, clearinghouse, billing service, or electronic claims connection you use.
Version 5010A1 format
The software is designed around the ANSI ASC X12N 837P Version 5010A1 professional claim format, identified as implementation guide 005010X222A1.
Electronic submission workflow
Create the 837P claim file, then submit it using the electronic billing method required by your payer, Medicare Administrative Contractor, billing service, or clearinghouse.
Important: Payers and clearinghouses may publish companion-guide requirements in addition to the national 837P standard. Review the receiving organization's current requirements before submitting a claim. CMS: Medicare Billing — CMS-1500 & 837P.
How the electronic claim software helps
CMS-1500 Claim Entry
Enter professional claim information in a familiar claim-focused Windows workflow.
Create 837P Files
Convert professional claim data into an 837P Version 5010A1 electronic claim file for submission.
Review Before Export
Review required claim information before creating the electronic file and correct obvious missing data.
Save & Retrieve
Save claim records locally and reopen them for changes, corrections, or another electronic export.
837P
CMS-1500 Electronic Claim Software
Create professional 837P electronic claim files for $199.
- $199
- 1-year license
- Install on up to 2 computers
- 837P Version 5010A1
- Windows desktop software
New to electronic professional claims?
Read the Electronic Claims Guide for a clear explanation of CMS-1500 paper claims, 837P electronic claims, file creation, and the outside submission step.
Frequently asked questions
What is the difference between CMS-1500 paper claims and 837P electronic claims?
CMS-1500 is the professional paper claim form. The 837P is the electronic professional claim format used to transmit substantially the same type of professional billing information electronically.
Does the software transmit claims directly to every payer?
The software is designed to create the 837P electronic claim file. How the file is transmitted depends on the payer, Medicare contractor, clearinghouse, or billing service you use.
How many computers can I install it on?
The $199 annual license allows installation on up to 2 Windows computers.
Can I download a trial now?
Yes. Download the free 837P trial to test the software before purchasing.
What the software produces
From professional claim entry to an 837P file
The software creates the electronic claim file for your submission workflow. It does not send the file directly to a payer.
1
Enter the claim
Prepare professional claim information in the Windows desktop software.
2
Validate
Review required information and correct obvious issues before export.
3
Create 837P
Generate the ANSI ASC X12N 837P Version 5010A1 file.
4
Submit externally
Use your payer, clearinghouse, MAC, billing service, or other authorized connection.
Synthetic example
See the type of file the software creates
This sample contains fictitious demonstration data only. Download it, inspect the X12, or open it in the free 837P Validator & Viewer.
ISA*00*...*ZZ*SENDERID*ZZ*RECEIVERID*...~ GS*HC*SENDER*RECEIVER*...*005010X222A1~ ST*837*0001*005010X222A1~ CLM*CLAIM001*225***11:B:1*Y*A*Y*I~ SV1*HC:99213*150*UN*1***1~ SE*26*0001~