The best method for sending claims is ANSI 5010 format. If you can not send in ANSI format please use the appropriate print image mapping for your claims.
| ANSI 5010 Formats | |
|---|---|
| Professional | 5010 | 837-P Health Care Claim: Professional claim format. |
| Dental | 5010 | 837-D Health Care Claim: Dental claim format. |
| Print Image Format | |
|---|---|
| Professional | ApexEDI Medical Print Image Mapping CMS-1500. |
| Dental | ApexEDI Dental Print Image Mapping 2006 Form. |