Electronic Claims
(ANSI X12 - 837P)
Generate fully compliant ANSI X12 – 837P electronic claim files meeting HIPAA 5010 standards directly from your completed CMS-1500 forms with no internet connection needed. Our electronic claims module runs entirely offline on your computer, ensuring protected health information never leaves your machine. Export individual or batch claims into EDI files ready for any HIPAA-compliant clearinghouse. Preview transactions in raw EDI and plain English before exporting and validate every segment against HIPAA requirements to catch errors before submission. All provider, payer, and service line data maps automatically from your form fields to correct 837P loops and segments with no manual re-entry required. The Paper Claims Software is also included with the Electronics Software at no additional cost.
Features
HIPAA 5010 Compliant
Generate fully compliant ANSI X12 837P professional electronic claim files meeting all current HIPAA 5010 standards and X222A1 specifications.
AI Agent
Let our built-in AI Agent handle billing follow-ups, claim status checks, and collections workflow.
Single Claim Export
Export any individual claim as a properly formatted 837P EDI file ready for immediate clearinghouse submission directly from the claim form.
EDI Preview
Preview the complete generated 837P content before exporting to verify data accuracy. View both raw EDI segments and human-readable translations.
Human Readable View
Convert complex EDI segment codes and element data into plain English descriptions for easy review and understanding of every claim data point.
Built-in Validation
Validate generated 837P files against HIPAA transaction set requirements before submission. Catch segment errors and missing loop data issues.
ISA GS Envelope
Properly formatted interchange control and functional group envelope headers with configurable sender and receiver IDs for your clearinghouse.
Billing Provider Loop
Complete 2010AA billing provider information loop including NPI number, taxonomy code, full address, and contact details in proper EDI format.
Subscriber Information
Full subscriber and patient hierarchy loops with all demographics, insurance identification, and relationship codes mapped from form data fields.
Payer Loop
Payer identification loop with proper qualifier codes and insurance plan information formatted correctly for electronic claim routing by carriers.
Claim Level Data
CLM segment with place of service, frequency type code, provider signature indicator, and assignment of benefits all mapped from your form data.
Diagnosis Codes Loop
Health information HI loop with all ICD-10 diagnosis codes from Box 21 properly formatted using ABK qualifier codes for full 5010 compliance.
Service Line Detail
Complete 2400 service line loops for each procedure with CPT codes, modifiers, charges, units, dates of service, and diagnosis pointer values.
Referring Provider
Referring provider information with NPI number and proper qualifier codes placed correctly in the 2310A loop whenever applicable to your claim.
Rendering Provider
Rendering provider details including NPI and taxonomy code in the 2310B loop when the rendering provider differs from the billing provider used.
Facility Information
Service facility location details with NPI and full address in the 2310C loop for claims where services were rendered at a separate facility.
Configurable Settings
Save your clearinghouse-specific settings including sender ID, receiver ID, and all submission parameters. Configure once and reuse on every claim.
File Export Dialog
User-friendly export dialog with convenient file save options and automatic naming conventions. Choose exactly where to save your 837P EDI files.
CMS-1500 Field Mapping
Automatic intelligent mapping of all CMS-1500 form field values to their corresponding 837P EDI segments and data elements with no re-entry.
Clearinghouse Ready
Generated EDI files are properly formatted for direct upload to any HIPAA-compliant clearinghouse platform. Compatible with all major vendors.
Batch Claim Export
Export multiple claims together in a single 837P batch file for efficient bulk electronic submission. Process entire patient caseloads at once.