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News Center
September 28, 2006
CMS 1500—Revision Information
The
latest revision to the 1500 Health Insurance Claim Form (version 08/05), which
accommodates the reporting of the National Provider Identifier (NPI), has been
approved by the Office of Management and Budget (OMB). The transitioning
timeline for implementation is as follows:
October
1, 2006—Health plans, clearinghouses and other information support vendors
should be ready to handle and accept the revised (08/05) 1500
Claim Form;
October 1, 2006-February 1, 2007—Providers can use either the current (12/90) version or the revised version of the 1500 Claim Form; and
February 1, 2007—The current version of the 1500 Claim Form is discontinued; only the revised form is to be used. Although earlier submissions may have been on the current form, all rebilling of claims should use the revised form from this date forward.
The proposed Medicare implementation timeline for the new Form CMS-1500 (08/05) calls for optional use starting January 2, 2007, through March 30, 2007, but will be mandatory starting April 2, 2007. Providers will need to check with their payor and/or clearinghouses to determine when they will begin to accept the revised forms.
For CMS 1500 (12/90) and CMS 1500 (08/05) forms available from Briggs,
click here.