Update to Correct Error in Version 4.0 7/16 1500 Instruction Manual
July 28, 2016
The NUCC has released an update to its V4.0 07/16 1500 Health Insurance Claim Form Reference Manual. The update corrects an error in the instructions for reporting the ZIP code in 32 (Service Facility Location) and 33 (Billing Provider). The instructions currently state to report a 5 or 9-digit ZIP code. This is incorrect and should state to report a 9-digit ZIP code. A 5-digit ZIP code is not allowed.
This change goes into effect immediately and will be included in the next release of the 1500 instruction manual. The complete list of changes made to the instruction manual since its release is available on the "1500 Instructions" page under the "1500 Claim Form" tab.
Release of 2016 1500 Instruction Manual
July 1, 2016
The NUCC has released its annual, updated version of its 1500 Health Insurance Claim Form Reference Instruction Manual for the 1500 Claim Form. The updated instruction manual, Version 4.0 7/16, goes into effect immediately and is available under the 1500 Claim Form tab.
All changes that were made to the instructions following the July 2015 release have been incorporated into this version of the instruction manual. A change log showing all of the updates is also available under the 1500 Claim Form tab. Any interim changes, clarifications, or corrections to the instructions following this release will be posted on the NUCC website.
July 2016 Updates to Health Care Provider Taxonomy Code Set
June 30, 2016
The NUCC has released the semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on October 1, 2016. The complete code set, including the list of new codes, is available under the "Code Sets" tab. The PDF download version of the code set is also available there.
When reviewing the Health Care Provider Taxonomy code set online, revisions made since the last release can be identified by the color code; new items are green.
Resources for Implementing the 02/12 1500 Claim Form
Payers may begin accepting the 02/12 1500 Claim Form as of January 6, 2014. The following resources will assist your organization in implementing the revised form:
- Understanding the Changes to the 0212 1500 Claim Form presentation
- Updating to the 0212 1500 Claim Form
Submitters of the form should follow up with their specific payer(s) regarding their transition timeline information.
Questions about the DSMO Process?
The Designated Standards Maintenance Organizations (DSMO) have created a presentation "Understanding the HIPAA Processes" to provide information on the HIPAA transactions, code sets, and operating rules processes under HIPAA. The presentation was developed to satisfy an industry need to have in one concise document the process of how to request changes to HIPAA mandated standards.
The presentation is available here: DSMO: Understanding the HIPAA Process
The DSMO includes three American National Standards Institute (ANSI) Accredited standard development organizations ‐ Accredited Standards Committee (ASC) X12, Health Level Seven (HL7) International, and the National Council for Prescription Drug Programs (NCPDP), and three data content organizations ‐ the American Dental Association (ADA) Dental Content Committee (DeCC), National Uniform Billing Committee (NUBC), and National Uniform Claim Committee (NUCC). The DSMO reviews change requests to the HIPAA designated standards and requests for new standards and code sets to be adopted.
Who Are We?
The National Uniform Claim Committee (NUCC) is a voluntary organization that replaced the Uniform Claim Form Task Force in 1995. The committee was created to develop a standardized data set for use by the non-institutional health care community to transmit claim and encounter information to and from all third-party payers. It is chaired by the American Medical Association (AMA), with the Centers for Medicare and Medicaid Services (CMS) as a critical partner. The committee is a diverse group of health care industry stakeholders representing providers, payers, designated standards maintenance organizations, public health organizations, and vendors.
The NUCC was formally named in the administrative simplification section of the HIPAA of 1996 as one of the organizations to be consulted by the American National Standards Institute's accredited SDOs and the Secretary of HHS as they develop, adopt, or modify national standards for health care transactions. As such, the NUCC is intended to have an authoritative voice regarding national standard content and data definitions for non-institutional health care claims in the United States. The NUCC's recommendations in this area are explicitly designed to complement and expedite the work of the Accredited Standards Committee Electronic Data Interchange (ASC X12N) in complying with the provisions of P.L. 104-191.
The NUCC is comprised of the key parties affected by health care electronic data interchange (EDI) - those at either end of a health care transaction, generally payers and providers. Criteria for membership include a national scope and representation of a unique constituency affected by health care EDI, with an emphasis on maintaining or enhancing the provider/payer balance. Each committee member is intended to represent the perspective of the sponsoring organization and the applicable constituency. Representatives are responsible for communicating information between the committee and the group(s) they represent.