Revised CMS 1500 Claim Form Timeline
Posted 09/17/13; Modified 10/23/13
The Employees Group Insurance Division (EGID) has adopted the newly updated NUCC recommended timeline for the transition to the revised 1500 Claim Form (02/12) for all HealthChoice, DOC, and DRS claims. The timeline is as follows:
- January 6, 2014 – Payers begin receiving and processing paper claims submitted on the revised (02/12) 1500 Claim Form.
- January 6, 2014 to March 31, 2014 – Dual use period during which payers will continue to receive and process paper claims submitted on the old 1500 claim form (version 08/05).
- April 1, 2014 – The (08/05) 1500 Claim Form is discontinued; only the revised (02/12) 1500 Claim Form is to be used. All rebilling of claims must be on the revised (02/12) 1500 Claim Form from this date forward, even though earlier submissions may have been on the (08/05) 1500 Claim Form.
In the summer Network News, we advised you that the (02/12) 1500 Claim Form would be mandatory beginning October 1, 2013. However, the NUCC has modified its transition timeline to align with Medicare’s transition timeline. Beginning April 1, 2014, EGID will accept only the new CMS 1500 form and claims will be denied when this new form is not utilized.
For more information, please contact the health claims administrator at 1-405-416-1800 or toll-free 1-800-782-5218.