2/19/2014

Starting on January 6, 2014, the 1500 version 02-12 claim form became available for use by providers submitting professional claims on paper.  Providers have the option of using the old version of the form (CMS 1500 v. 08-05) or the new version (1500 v. 02-12) until the March 31, 2014 compliance date, after which time only the version 02-12 form must be used.  Paper claims for professional services that Midlands Choice receives submitted on the CMS 1500 (08-05) form after March 31, 2014 will be sent back to the provider requiring that the claim be resubmitted on the 1500 (02-12) form.

In preparation to start using the new form, it is important to verify that your billing software is able to accommodate the updated format. For more information on the 1500 (02-12) claim form, visit the National Uniform Claim Committee website at www.nucc.org.