This is the NEW CMS-1500 Claim form. May begin use on Oct. 1, 2006 Mandated use begins Apr. 1, 2007
Submitting health insurance claim forms makes your patients happy, meets Medicare requirements, and puts you in control of your reimbursement. The standard CMS-1500 is valid for non-HIPAA offices. It is also an ideal and affordable receipt for self-insured patients.
New CMS-1500 Version The National Uniform Claim Committee (NUCC) has approved a revised 1500 Health Insurance Claim Form. This new version will replace the existing CMS-1500 Claim Form (version 12/90), often referred to as the HCFA-1500 or CMS-1500. This new version (08/05) accommodates the reporting of the new National Provider Identifier (NPI) as mandated by HIPAA, in addition to other needed changes.
Timeline for transitioning to the new version: October 1, 2006 – March 31, 2007: Providers can use either the current (12/90) version or the newly revised (08/05) version April 1, 2007: The old (12/90) version of the 1500 Claim Form is discontinued. Use only the revised (08/05) form from this date forward for new claims and resubmissions.
