1500 Claim Form Map to the X12 837P 5010(Crosswalk)

The following is a crosswalk of the 1500 Health Care Claim Form (1500 Form) to the 5010 X12 837 Health Care Claim electronic transaction. This document is intended to be used in conjunction with the NUCC Data Set; however, the NUCC Data Set will not be updated until the completion of the revisions to the 1500 Form.