Completed claim forms are to be sent to the insurance company, payer, or other entity responsible for paying the claim.  The NUCC does not process claims, so completed claim forms should not be sent to the NUCC.  Completed claim forms received by the NUCC will be returned to the provider or patient identified on the form.

To obtain a copy of the form PDF and printing standards, contact either of the following:

  • TFP Data Systems: This email address is being protected from spambots. You need JavaScript enabled to view it. or 800-482-9367 ext. 1770
  • Government Printing Office: 800-512-1800
  • Forms printers are warned not to create a form without obtaining the PDF and printing standards, as this may lead to poor quality of the form and may result in rejection of the form if the data is not aligned properly.

     

    The recommended font size is 10.

    Any information that you have pre-printed on your forms should be information that will remain the same regardless of the payer you are submitting to.  One example may be the Billing Provider Information.  You may also want to check with a couple of your payers to make sure they can accept claim forms with pre-printed information.

    If your current supplier does not have the 08/05 form, have them get in touch with the Government Printing Office or TFP Data Systems for the revised form's PDF/negative so they can begin printing the revised form. Their contact information is:

    • TFP Data Systems: This email address is being protected from spambots. You need JavaScript enabled to view it. or 800-482-9367 ext. 1770
    • Government Printing Office: 800-512-1800 or http://bookstore.gpo.gov/collections/cms1500-form.jsp 

    If you need a supplier, do a web search using the key words "CMS 1500" and you should get a list of suppliers. You can check their website or contact them to see if they have the revised forms.