New CMS-1500 Form (02/12) Now Available

The revised CMS-1500 claim form, which was recently approved by the Centers for Medicare & Medicaid Services (CMS), has been released for official use. The new CMS-1500 (version 02/12) will replace the previous form (version 08/05).

As a healthcare provider, you are required to use the CMS-1500 to submit claims and seek reimbursement by health insurance companies. The CMS-1500 captures all the necessary information – including reporting of the National Provider Identifier (NPI) — in strict accordance with HIPAA.  In addition, it now aligns the paper form with certain changes in the electronic Health Care Claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1).

Fully updated with the 2012 revisions, the new CMS-1500 is 100% compliant and printed to exact specifications. As a result, our CMS-1500 forms offer a distinct advantage: Anti-Rejection Protection™*. Forms are fully compliant and rejection-proof, so you get paid quicker!

Transition Timeline
The final transition timeline for implementation of the revised CMS-1500 claim form is as follows:

• January 6, 2014: Private insurance carriers and Medicare begin receiving and processing paper claims on the revised CMS-1500 claim form (02/12)

• January 6 – March 31, 2014: Dual-use period during which private insurance carriers and Medicare continue to receive and process paper claims submitted on either version of the form

• April 1, 2014: The current claim form (08/05) is discontinued; all private insurance carriers and Medicare receives and processes paper claims submitted only on the revised CMS-1500 claim form (02/12)

It’s important to note, too, that the transition will be gradual, and testing will be ongoing through the transition period ending on March 31, 2014.