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Version 02/12 CMS-1500 Laser/Inkjet Insurance Claim Form (2,500/BX)


Regular Price: $64.99
Our Price: 47.99
Item Number: WCMS1500CS
Version 02/12 is the current approved CMS 1500 Claim Form. 2500 Per Box. ($13.40/Per Box Shipping will be added to the order.)

The CMS-1500 contains a number of improvements and enhancements that include better alignment with the electronic HIPAA ASC X12N 837-non Institutional Transaction Standard. The New 1500 paper claim form will be able to accommodate the reporting of the National Provider Identifier (NPI) Number. The NPI will be a single provider identifier, replacing the different provider identifiers healthcare systems currently use for each health plan with which you do business. The NPI Identifier, which implements a requirement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), must be used by all HIPAA covered entities, which are health plans, healthcare clearinghouses, and healthcare providers.
 
$13.40 PER BOX SHIPPING

Additional Information

For details on the Form Update, Click Here

The NUCC approved the following transition timeline at its in-person meeting in Chicago, IL on August 1, 2013.

  • 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).

This timeline aligns with Medicare’s transition timeline.

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