CMS-1450 Claim Form Crosswalk to ASC X12 837I v5010A2


The Health Insurance Portability and Accountability Act (HIPAA) of 1996 includes provisions for administrative simplification. HIPAA requires the Secretary of the Department of Health and Human Services (HHS) to adopt standards to support the electronic exchange of administrative and financial health care transactions primarily between health care providers and plans. The ASC X12 837I v5010A2 Institutional Health Care Claim transaction was established in accordance with these HIPAA regulations.

The implementation of the ASC X12 837I v5010A2 presents substantial changes in the content of the data institutional providers will submit with their claims. In order to help institutional providers prepare for these changes, Palmetto GBA has created a CMS-1450 Claim Form Crosswalk to ASC X12 837I v5010A2. This crosswalk will help institutional providers with correct claims submission during and after the transition to the ASC X12 837I v5010A2.





Last Updated: 03/24/2021