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New HCFA 1500 Claim form – New Version 02/12

The version 02/12 1500 health Insurance Claim form has received final approval from CMS (Centers for Medicare & Medicaid Services) New 1500 claim form (New Version 02/12) is revised form accommodates reporting needs for ICD-10 and aligns with requirement in the Accredited Standards Committee X12 (ASC X12).

What is the deadline for New 1500 Claim form – New Version 02/12

The Centers for Medicare & Medicaid Services (CMS) announced in the CMS Medicare Learning Network on June 27, 2013 that their tentative timeline for implementing the 02/12 1500 claim form is as follows:

  • January 6, 2014: Medicare begins receiving and processing paper claims submitted on the revised CMS 1500 claim form (version 02/12).
  • January 6 through March 31, 2014: Dual use period during which Medicare continues to receive and process paper claims submitted on the old CMS 1500 claim form (version 08/05).
  • April 1, 2014: Medicare receives and processes paper claims submitted only on the revised CMS 1500 claim form (version 02/12).

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