CMS-1500 (revision 02/12) Approved

Announcing the Approval of The Revised CMS-1500 02/12 Claim Form

FOR IMMEDIATE RELEASE

New CMS-1500 Form (02/12) Released by the NUCC

(June 18, 2013) – The National Uniform Claim Committee (NUCC) has announced the release of a revised CMS-1500 Health Insurance Claim Form (version 02/12) to replace the current CMS-1500 Claim Form (version 08/05).  The Office of Management and Budget (OMB) has approved the 1500 Claim Form under OMB Number 0938-1197.  The NUCC began revision work on the form in 2009 in an effort to accommodate the reporting needs for ICD-10 and to align the paper form with requirements in the Accredited Standards Committee.  During this process, the NUCC decided to make “minor changes,” which means no physical changes to the existing form lines or general layout.  This was largely due to feedback from NUCC members and constituents who wanted to reduce the work and cost to implement a revised 1500 Claim Form.

New Timeline

The NUCC will be reviewing its initial proposed implementation timeline and will seek input from its members, including Medicare.  An announcement will be made once the NUCC has finalized its transition timeline.  In the meantime, organizations should begin work on the programming and implementation needs for the revised 1500 Claim Form.  Providers will need to check with their payer and/or clearinghouses to determine when they will begin to accept the revised forms.

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