What does the 837P transaction replace?

The 837P transaction is specifically designed to replace the CMS-1500 form, which is the standard claim form used by healthcare providers, particularly physicians, to bill for services rendered to patients covered by Medicare, Medicaid, and other insurance programs. By using the 837P transaction, healthcare providers can submit their claims electronically, which streamlines the billing process and reduces the reliance on paper forms.

This transition to electronic submissions helps improve efficiency by allowing faster processing times, minimizing errors that can occur with manual data entry, and enhancing the overall revenue cycle management. The move to the 837P format supports the broader goals of modernizing health care billing practices and facilitating easier data sharing and management across various stakeholders in the healthcare system.