This is the NEW CMS-1500 Claim Form 02/12.The NUCC has approved a transition timeline for the version 02/12 1500 Health Insurance Claim Form (1500 Claim Form).
In June 2013, the NUCC announced the approval of the updated 1500 Claim Form that accommodates reporting needs for ICD-10 and aligns with requirements in the Accredited Standards Committee X12 (ASC X12) Health Care Claim: Professional (837P) Version 5010 Technical Report Type 3.
The NUCC approved the following transition timeline at its in-person meeting in Chicago 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.