August 2016 In-person Meeting

The NUCC will hold its next in-person meeting August 17, 2016 in Baltimore, MD. No registration is required to attend the meeting.

NUCC Meeting

Wednesday August 17, 1:00 - 5:00 p.m.

NUCC/NUBC Joint Meeting

Wednesday August 17, 10:15 a.m. - 12:00 p.m. 

Meeting Location

The meeting is being held at the Royal Sonesta Harbor Court Baltimore, 550 Light Street, Baltimore, MD 21202. 

Hotel Information

To reserve a room, call 410-234-0550 and ask for the American Hospital Association room block for the National Uniform Billing Committee/National Uniform Claim Committee meetings. 

The room rate is $159/night.

The cut-off date to reserve a room is Friday August 5, 2016.

Agenda

Meeting Draft Agenda

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.

For more information on the 1500 Health Insurance Claim Form Reference Instruction Manual, email This email address is being protected from spambots. You need JavaScript enabled to view it.

July 2016 Taxonomy Code Set Updates Released

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. 

Questions or comments about the code set or the revisions can be emailed to: This email address is being protected from spambots. You need JavaScript enabled to view it..

April 2016 In-person Meeting

The NUCC will hold its next in-person meeting April 6, 2016 in Baltimore, MD. No registration is required to attend the meeting.

NUCC Meeting

Wednesday April 6, 1:00 - 5:00 p.m.

NUCC/NUBC Joint Meeting

Wednesday April 6, 10:00 a.m. - 12:00 p.m. 

Meeting Location

The meeting is being held at the Hilton Baltimore BWI Airport, 1739 W. Nursery Rd, Linthicum, MD 21090. 

Hotel Information

To reserve a room, call 410-694-0808 and ask for the AMA NUCC Meeting room block. 

The rate is $149/night.

The cut-off date to reserve a room is March 21, 2016 or when the block is filled.

Agenda

Draft Agenda

Updates to V3.0 1500 Instruction Manual

January 8, 2016

The NUCC has released updates to its V3.0 07/15 1500 Health Insurance Claim Form Reference Manual.  The changes are clarifications to the current instructions and go into effect immediately.  The complete list of changes made to the instruction manual since its release in July 2015 is available on the "1500 Instructions" page under the "1500 Claim Form" tab.

Questions about the NUCC's 1500 instructions can be emailed to: This email address is being protected from spambots. You need JavaScript enabled to view it..

January 2016 Taxonomy Code Set Updates Released

January 1, 2016

The NUCC has released its semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on April 1, 2016.  The complete code set, including the list of new and modified 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 and modified items are orange. 

Questions or comments about the code set or the revisions can be emailed to: This email address is being protected from spambots. You need JavaScript enabled to view it..

Final Approval of the 02/12 1500 Claim Form

June 17, 2013

The NUCC is pleased to announce the final approval of the Version 02/12 1500 Health Insurance Claim Form (1500 Claim Form) that accommodates reporting needs for ICD-10 and aligns with requirements in the Accredited Standards Committee X12 (ASC X12) Health Care Claim: Professional (837P) Version 5010 Technical Report Type 3. The Office of Management and Budget (OMB) has approved the 1500 Claim Form under OMB Number 0938-1197.

During its work, the NUCC was made aware by the health care industry of two priorities that were included in the revisions to the 1500 Claim Form. The first was the addition of an indicator in Item Number 21 to identify the version of the diagnosis code set being report, i.e., ICD-9 or ICD-10. The need to identify which version of the code set is being reported will be important during the implementation period of ICD-10. The second priority was to expand the number of diagnosis codes that can be reported in Item Number 21, which was increased from 4 to 12. Additional revisions will improve the accuracy of the data reported, such as being able to identify the role of the provider reported in Item Number 17 and the specific dates reported in Item Number 14.

Here is the PDF of the revised 1500 form, including the template and grid versions:
• 02/12 1500 Claim Form

Note
This PDF version of the form may not print to its exact specifications and should not be used for claims submissions.

To receive copies of the 02/12 1500 Claim Form, contact:

  • Your current forms supplier;
  • TFP Data Systems: This email address is being protected from spambots. You need JavaScript enabled to view it. or 800-482-9367 ext. 58029; or
  • The Government Printing Office: http://bookstore.gpo.gov/catalog/government-forms-phone-directories or 866-512-1800

TFP will have the print files and specifications available as of June 20, 2013.

The following change log shows all changes between the 08/05 version and 02/12 version of the form.
• 02/12 1500 Form Change Log

The following is the NUCC instruction manual for the 02/12 1500 Claim Form:
• v1.1 0613 0212 NUCC 1500 Instruction Manual

The following is the NUCC 1500 Claim Form Map to X12 Health Care Claim: Professional (837P) transaction:
02/12 1500 Claim Form Map to X12 837P

Medicare Transition Timeline

The Centers for Medicare & Medicaid Services (CMS) announced in the CMS Medicare Learning Network on June 27, 2013 that their tentative timeline for implementing the 02/12 1500 claim form is as follows:

  • January 6, 2014: Medicare begins receiving and processing paper claims submitted on the revised CMS 1500 claim form (version 02/12).
  • January 6 through March 31, 2014: Dual use period during which Medicare continues to receive and process paper claims submitted on the old CMS 1500 claim form (version 08/05).
  • April 1, 2014: Medicare receives and processes paper claims submitted only on the revised CMS 1500 claim form (version 02/12). 

These dates are tentative and subject to change.  CMS will provide more information as it is available.

NUCC Transition Timeline

The NUCC approved at its in-person meeting on August 1, 2013 to align its transition timeline with Medicare's.  The timeline is:

  • 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). 

FAQs

Check the NUCC’s FAQs for information about commonly asked questions about the 1500 Claim Form. The FAQs will be updated periodically.

Announcement

Here is the announcement of the final approval of the revised form.
• 02/12 1500 Claim Form Approval Announcement

NUCC Transition Timeline for 02/12 1500

August 6, 2013

The NUCC has approved a transition timeline for the version 02/12 1500 Health Insurance Claim Form (1500 Claim Form).  In June, the NUCC announced the approval of the updated 1500 Claim Form that accommodates reporting needs for ICD-10 and aligns with requirements in the Accredited Standards Committee X12 (ASC X12) Health Care Claim: Professional (837P) Version 5010 Technical Report Type 3.

The NUCC approved the following transition timeline at its in-person meeting in Chicago 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.