In the complex landscape of healthcare billing and electronic claims submission, the transition from the CMS-1450 claim form (also known as the UB-04 form) to the ANSI 837I Version 5010A2 electronic format marks a significant shift for institutional healthcare providers. TrailBlazer Health Enterprises has provided an essential resource, the CMS-1450 Claim Form Crosswalk to the ANSI 837I Version 5010A2, to bridge the gap between these two formats. This detailed crosswalk is designed to facilitate correct claims submission during and post-transition, ensuring providers can navigate the substantial changes in data content requirements smoothly. It meticulously maps each field on the UB-04 form to its corresponding segment and loop on the ANSI 837I, covering everything from billing provider information, patient details, and diagnosis codes to procedural and service-specific data. Such comprehensive guidance is crucial for providers to maintain operational efficiency and compliance with billing protocols, thereby minimizing disruptions in claim processing and reimbursements in the evolve healthcare billing environment.
| Question | Answer |
|---|---|
| Form Name | Ub 04 To 837I Crosswalk Form |
| Form Length | 4 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min |
| Other names | trailblazer health cms1450 837i, trailblazer form ansi 837i, trailblazer health form 837i, trailblazer 837i |
