HIPPA mandated electronic transmission for claims. This is called an 837P claim. The details required by 837P is based upon the CMS-1500 claim kind, a paper claim form.
The information on the CMS-1500 form and the electronic transmission (837P claim) are basically the same.
We can use the CMS-1500 claim kind as a way of explaining the information needed to get a claim paid by a payer.
http://medicalbillingcodingonline.org/cms-1500-kind-description-of-products-1-to-7-medical-billing-series/
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