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CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12)

Part Number: WCMS-1500
Price2+5+
$19.95$14.95$12.95

100% guaranteed compliance. For physicians, the CMS 1500 meets The Centers for Medicare and Medicaid Services guidelines.
  • October 1, 2015: Claims should use ICD-10 codes, which can only be used on 02/12 CMS 1500 forms. (ICD-9 codes should no longer be in use, ICD-10 codes cannot be used on 08/05 CMS 1500 forms.)

Additional Details

TWI's extensive line of claim forms are available in laser cut sheets and continuous forms to meet your clients needs.

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.

500/pk


CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12)
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