Updated 1500 Claim Form - 837P Map

August 13, 2018

The NUCC has updated its map of the 02/12 1500 Claim Form to the X12 837 Health Care Claim: Professional (837P) Version 5010/5010A1 electronic transaction.  The substantive change in the map is the addition of the 837P REF01 and REF02 data elements in the mapping of 1500 claim form Item Number 19.  The map is available under the 1500 Claim Form tab.

The 1500 Claim Form - 837P map is a simplified crosswalk of the 1500 Item Numbers to the corresponding data elements in the 837P 5010/5010A1 transaction.  Users of the map will need to refer to the NUCC's 1500 Reference Instruction Manual and the X12 Technical Report Type 3 (TR3) for more information about the data elements and reporting requirements.

Questions about the map can be sent to: This email address is being protected from spambots. You need JavaScript enabled to view it..