Get Cms 1500 To 837p Crosswalk

The Cms 1500 to 837p crosswalk is an essential tool for healthcare providers to accurately transition claims from the Cms 1500 form to the ANSI 837p format. This guide provides a clear, step-by-step approach to correctly filling out each section of the crosswalk online.

Follow the steps to accurately complete the form.

1. Click the ‘Get Form’ button to retrieve the Cms 1500 to 837p crosswalk form and open it online.
2. Begin by entering the subscriber's last name in the appropriate field, ensuring that the information matches the Medicare card.
3. Input the subscriber's first name and middle name if applicable, using the same name format shown on the Medicare card.
4. Enter the subscriber's birth date, ensuring the format is CCYYMMDD, which is critical for accurate processing.
5. Indicate the subscriber's gender using the designated codes: 'F' for female, 'M' for male, or 'U' for unknown.
6. Fill out the address fields for the subscriber including street address, city, state code, and ZIP code for accurate correspondence.
7. List the patient’s last name, first name, and middle initial, ensuring clarity as this information needs to match records.
8. Provide the patient’s birth date in CCYYMMDD format and their gender using the same code system as the subscriber.
9. Complete the fields for the insurer's name and relationship to the insured, selecting 'Self' or the appropriate relationship status.
10. If relevant, enter the information pertaining to additional insurers or other health plans involved in the claim.
11. Include information about the services provided, diagnosis codes, and charges while ensuring all entries relate accurately.
12. Review all entries for accuracy, making corrections as necessary before proceeding to save or print the final document.

Complete your documents online to ensure timely processing of your claims.