Questions Submitted by the Public, by Date Posted to the Website. Electronic standard for HCFA-1500


What is the standard electronic transaction for the paper HCFA-1500 (Health Insurance Claim Form)?


As stated in section 162.1102 of the Final Rule on Standards for Electronic Transactions, the ASC X12N 837--Health Care Claim: Professional, Volumes 1 and 2, Version 4010, is the adopted standard for professional health care claims or equivalent encounter information.