In 2009 the National Uniform Claim Comittee (NUCC) began work on a revised 1500 Health Insurance Claim Form, also known as the “CMS 1500” or the “HCFA 1500” form. The revised form is designed to accommodate Version 5010 837P changes and ICD-10 implementation.
The revised form is currently awaiting approval from both the Centers for Medicare & Medicaid Services (CMS) and the Office of Management and Budget (OMB) in order to be finalized. During the CMS and OMB revision periods, the CMS 1500 form will be released for two public comment periods to be announced in the Federal Register.
“The goal of this work was to align the paper form with some of the changes in the electronic Health Care Claim…” -NUCC website.
Note to Medical Billing Software Users: Easy Billing, Inc., medical billing software company, is closely monitoring updates regarding testing dates for the new CMS 1500 form and will be ready for implementation. Easy Billing Inc. keeps its medical billing software current with changes in the medical billing industry. All billers, medical offices and laboratories must adhere to the changes in accordance with the new form. If you are interested in Easy Billing Professional software click here for information about scheduling a free software demo with us. Take a look at our products and pricing here or feel free to navigate our website and contact us.
The NUCC recommended timeline for transitioning to the new 1500 Claim Form is as follows:
- June 1, 2013 – Health plans, clearinghouses, and other information support vendors are ready to handle and accept the revised (02/12) 1500 Claim Form.
- June 1 – September 30 – Providers can use either the current (08/05) or the revised (02/12) 1500 Claim Form. Health plans, clearinghouses, and billing vendors are able to accept and process either version of the form.
- October 1, 2013 – The current (08/05) 1500 Claim Form is discontinued; only the revised (02/12) 1500 Claim Form is to be used. All rebilling of claims will be on the revised (02/12) 1500 Claim Form from this date forward, even though earlier submissions may have been on the current (08/05) 1500 Claim Form.
Sources for CMS 1500: www.nucc.org and the American Medical Assosiaction.