Skip to main content

What are all the changes in New HCFA 1500 from older version?

Below are the list changes from old version 08/05 HCFA 1500 to New Version 02/12 HCFA form.

Location
Change
Header

Replaced 1500 rectangular symbol with black and white two-dimensional QR Code (Quick Response Code).

Header

Added "(NUCC)" after "APPROVED BY NATIONAL UNIFORM CLAIM COMMITTEE."

Header

Replaced "08/05" with "02/12."

Item Number 1

Changed "TRICARE CHAMPUS" to "TRICARE" and changed "(Sponsor’s SSN)" to "(ID#/DoD#)."

Item Number 1

Changed "(SSN or ID)" to "(ID#) under "GROUP HEALTH PLAN."

Item Number 1

Changed "(SSN)" to "(ID#)" under "FECA BLK LUNG."

Item Number 1

Changed "(ID)" to "(ID#)" under "OTHER."

Item Number 8

Deleted "PATIENT STATUS" and content of field. Changed title to "RESERVED FOR NUCC USE."

Item Number 9b

Deleted "OTHER INSURED’S DATE OF BIRTH, SEX." Changed title to "RESERVED FOR NUCC USE."

Item Number 9c

Deleted "EMPLOYER’S NAME OR SCHOOL." Changed title to "RESERVED FOR NUCC USE."

Item Number 10d

Changed title from "RESERVED FOR LOCAL USE" to "CLAIM CODES (Designated by NUCC)."

Item Number 11b

Deleted "EMPLOYER’S NAME OR SCHOOL." Changed title to "OTHER CLAIM ID (Designated by NUCC)." Added dotted line in the left-hand side of the field to accommodate a 2-byte qualifier.

Item Number 11d

Changed "If yes, return to and complete Item 9 a-d" to "If yes, complete items 9, 9a, and 9d."

Item Number 14

Changed title to "DATE OF CURRENT ILLNESS, INJURY, or PREGNANCY (LMP)." Removed the arrow and text in the right-hand side of the field. Added "QUAL." with a dotted line to accommodate a 3-byte qualifier.


2 of 2

Location Change
Item Number 15 Changed title from "IF PATIENT HAS HAD SAME OR SIMILAR ILLNESS. GIVE FIRST DATE" to "OTHER DATE." Added "QUAL." with two dotted lines to accommodate a 3-byte qualifier.
Item Number 17 Added a dotted line in the left-hand side of the field to accommodate a 2-byte qualifier.
Item Number 19 Changed title from "RESERVED FOR LOCAL USE" to "ADDITIONAL CLAIM INFORMATION (Designated by NUCC)."
Item Number 21 Changed instruction after title from "(Relate Items 1, 2, 3 or 4 to Item 24E by Line)" to "Relate A-L to service line below (24E)."
Item Number 21 Removed arrow pointing to 24E.
Item Number 21 Added "ICD Ind." and two dotted lines in the upper right-hand corner of the field to accommodate a 1-byte indicator.
Item Number 21 Added 8 additional lines for diagnosis codes. Evenly spaced the diagnosis code lines within the field.
Item Number 21 Changed labels of the diagnosis code lines to alpha characters (A – L).
Item Number 21 Removed the period within the diagnosis code lines.
Item Number 22 Changed title from "MEDICAID RESUBMISSION" to "RESUBMISSION."
Item Number 30 Deleted "BALANCE DUE." Changed title to "Rsvd for NUCC Use."
Footer Changed "APPROVED OMB-0938-0999 FORM CMS-1500 (08/05)" to "APPROVED OMB-0938-1197 FORM 1500 (02/12)."
Back Updates to the language.

Comments

Post a Comment

Popular posts from this blog

What is QMB / MQMB stands for?

In Medical billing or Healthcare industry The term QMB stands for Qualified Medicare Beneficiary & MQMB stands for Medicare Qualified Medicare Beneficiary. The term "QMB" or "MQMB" on the form indicates the client is a Qualified Medicare  Beneficiary (QMB) or a Medicaid Qualified Medicare Beneficiary (MQMB). The Medicare Catastrophic Coverage Act of 1988 requires Medicare premiums, deductibles, and coinsurance payments to be paid for individuals who meet the following criteria:  Important: Clients limited to QMB are not eligible for THSteps or THSteps-CCP Medicaid benefits.  Note: Clients eligible for STAR+PLUS who have Medicare and Medicaid are MQMBs. Medicaid reimburses for the coinsurance and deductibles as well as Medicaid-only services for the MQMB client. QMBs do not receive Medicaid benefits other than Medicare deductible and coinsurance liabilities. MQMBs do qualify for Medicaid benefits not covered by Medicare in addition
7 comments
Read more

Mastering the 'Tell Me About Yourself' Interview Question: Best Tips and Examples

In a job interview, the "Tell me about yourself" question is often asked early on and is an opportunity to make a positive first impression. The key is to provide a comprehensive response that highlights your qualifications and aligns with the job you're applying for. Here's a structured approach to crafting the best answer: Start with a Brief Personal Introduction: Begin by mentioning your name and your current or most recent role, if applicable. For example, "I'm [Your Name], and I'm currently working as a Sr AR Specialist at XYZ Company." Provide a Summary of Your Professional Background: Offer a concise overview of your professional journey, emphasizing the experiences and skills most relevant to the position you're interviewing for. You can mention your years of experience, notable career achievements, and areas of expertise. Highlight Relevant Achievements: Share specific accomplishmen
Post a Comment
Read more

Rejection Procedure note qualifier is missing

  Need to check the Charges tab and double click on the Procedure Code line to open up the Charge Entry window. There is a Notes section on the right hand side. If there is a note typed, we need to select the type.   Need to select field and select the appropriate type of note you are sending.   Save the changes made   Check all the procedure if submitted many procedure.   Save the visit again and submit the claim.
Post a Comment
Read more