Reminder: Medicare filing requirements and how to submit and code claims

May 03, 2019
The Bottom Line

The 837I (Institutional) is the standard format used by institutional providers to transmit health care claims electronically. The Form CMS-1450, also known as the UB-04, is the standard claim form to bill Medicare Administrative Contractors (MACs) when a paper claim is allowed. In addition to billing Medicare, the 837I and Form CMS-1450 may be suitable for billing various government and some private insurers.

CMS published an informational document explaining when Medicare will accept a hard copy claim form, filing requirements, and how to submit and code claims. This resource can be downloaded here and used as a reminder for your billing staff.

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