Providers Must Use Revised CMS-1500 Claim Form Beginning April 1, 2014

March 31, 2014
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Rick Gawenda
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Providers who currently submit paper claims to Medicare must begin using CMS-1500 form 02/12 for paper claim submissions received on or after April 1, 2014. On June 10, 2013, the White House OMB approved the revised CMS-1500 claim form, version 02/12, OMB control number, 0938-1197. The CMS-1500 claim form is the required format for submitting claims to Medicare on paper.

If providers submit paper claims via the CMS-1500 08/05 version on or after April 1, 2014 to their Medicare Administrative Contractor, the claim(s) will be rejected and returned as unprocessable. Providers will be instructed to resubmit a claim(s) using the CMS-1500 claim form version 02/12.

CMS has also provided updated instructions how to complete the revised CMS-1500 form. To access the instructions, click [restrict here=true] HERE. To access the National Uniform Claim Committee website, click HERE.[/mepr-show]


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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.

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