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Timeline for New CMS-1500 02/12 Claim Form

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Timeline for New CMS-1500 (02/12) Claim Form

The NUCC approved the following transition timeline at its in-person meeting in Chicago on August 1, 2013.  This timeline aligns with Medicare's transition timeline.

  • January 6, 2014: Payers begin receiving and processing paper claims submitted on the revised 1500 Claim Form (version 02/12).
  • January 6 through March 31, 2014: Dual use period during which payers continue to receive and process paper claims submitted on the old 1500 Claim Form (version 08/05).
  • April 1, 2014: Payers receive and process paper claims submitted only on the revised 1500 Claim Form (version 02/12).

Please contact New Medical Forms to order the New CMS-1500 (02/12) Claim Form.

1-888-482-7288 (toll-free phone)

newmedicalforms@gmail.com (email)

www.newmedicalforms.com (web)