NUCC Releases Additional Update to V7.0 7/11 1500 Instruction Manual

January 18, 2012

The NUCC has released an additional update to its Version 7.0 7/11 1500 Health Insurance Claim Form Reference Manual. The update is minor addition that clarify reporting of the Service Facility Location NPI (Item Number 32a). The instruction change goes into effect immediately.

The list of changes is available on the "Table of Changes" page under the "1500 Claim Form" tab. A PDF of the change log is also available on this page.

Questions about the NUCC's 1500 instructions can be emailed to: info@nucc.org.

January Release of Taxonomy Code Set Updates

January 3, 2012

The NUCC has released its semi-annual updates to the Health Care Provider Taxonomy code set, which will go into effect on April 1, 2012. The complete code set, including the list of new codes added, is available under the "Code Sets" tab. The PDF download version of the code set will be available shortly.

When reviewing the Health Care Provider Taxonomy code set online, revisions made since the last release can be identified by the collor code; new items are green.

Questions or comments about the code set or the revisions can be emailed to: taxonomy@nucc.org.

March 2012 In-person Meeting

NUCC Meeting

Thursday, March 8 - 9:00 am - 3:00 pm

Location

AMA Headquarters, 515 N. State St., Chicago, IL 60654

Hotel Block

Hilton Garden Inn Downtown Chicago/Magnificent Mile, 10 E Grand Ave, Chicago, IL 60611

Reservations: 312-595-0000 Room rate: $129.00

Indicate that you are attending the "NUCC" meeting to get the discounted room rate. The deadline for booking a room is February 5, 2012.

Draft Agenda

TBD

NUCC Releases Updated 1500 — 837P Crosswalk

November 14, 2011

The NUCC has released an updated version of its 1500 Claim Form Map to the X12N Health Care Claim: Professional (837) Version 5010/5010A1 electronic transaction. The updated crosswalk, Version 2.0 11/11, is available under the 1500 Claim Form tab.

The crosswalk is intended to be used in conjunction with the NUCC Data Set; however, the NUCC Data Set will not be updated until the completion of the revisions to the 1500 Form. Users of the 1500 ? 837P crosswalk need to refer to the NUCC?s 1500 Reference Instruction Manual for more specific information on the 1500 Form and Item Numbers and the X12N Health Care Claim: Professional (837) Technical Report Type 3 Version 5010/5010A1 for more specific details on the transaction and data elements.

Questions about the 1500 - 837P Crosswalk can be emailed to: info@nucc.org.

Summary of June - July 2011 Public Comments on Proposed Revisions to 1500 Claim Form

October 11, 2011

The NUCC conducted a 45-day public comment period from June 7 - July 21, 2011 to solicit feedback on proposed revisions to the 1500 Claim Form. The purpose of the comment period was to receive specific input from the industry on the proposed revisions, as well as costs and benefits of implementing the proposed 1500 Claim Form.

The NUCC reviewed the results of the survey at its in-person meeting in Baltimore, MD on August 10, 2011. Overall, the majority of responders were in support of the proposed revisions. During its review, the NUCC made a few minor changes to the proposed revisions.

The NUCC agreed to move forward with its work revising the 1500 Claim Form. No formal approval was given at the meeting on the form layout. The next steps of the NUCC's work are to complete "proof of concept" testing of the revised form, vote to approve the revised form, and submit the revised form to the Centers for Medicare & Medicaid Services for its approval. The timeframe for when a revised form will be approved and when it would be required for use is not yet known.

The following is a more complete summary of the public comments received.
• Summary of Public Comment on Potential Revised 1500 (PDF)

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.