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The NUCC Approves a Revised 1500 Health Insurance Claim Form

The NUCC’s revised version of the 1500 Health Insurance Claim Form (version 02/12) accomodates Version 5010 837P changes and ICD-10 implementation. This revised version updates the current 1500 Claim Form (version 08/05), often referred to as the “HCFA 1500” or “ CMS 1500.”

The NUCC recommended timeline for transitioning to the 0212 version of the 1500 Claim Form is as follows:

• June 1, 2013: Health plans, clearinghouses, etc., are ready to handle & accept the revised (02/12) 1500 Claim Form.

• June 1 – October 1, 2013: Providers can use either the current (08/05) or the revised (02/12) 1500 Claim Form.

• October 1, 2013: The current (08/05) 1500 Claim Form is continued; only the revised (02/12) 1500 Claim Form is to be used

(rebilling of claims must be on new forms).

The NUCC does not anticipate major changes to the revised form, but it is possible that changes could be made. Once the revised 1500 Claim Form is approved by OMB & CMS, the NUCC will release the final version.