Updates to the NUCC's 1500 Instruction Manual

January 8, 2010

Updates were made to the NUCC's 1500 Instruction Manual to clarify the reporting of property and casualty claims. In addition, a new appendix, now Appendix A, was added to the instructions. Appendix A is a list of specific provider terms and their definitions. These changes will be incorporated into the July 2010 annual release of the instruction manual.

Email info@nucc.org if you have any questions about the instruction changes.

March 2010 In-person Meeting

NUCC Meeting

March 17 1:00 - 4:30 pm

March 18 8:30 am - 12:00 pm

Joint NUCC/NUBC Meeting

March 17 10:15 am - 12:15 pm

Location

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

Reservations: 877-782-9444 Room rate: $89.00

Indicate that you are attending the "AMA NUCC/NUBC Meeting" to get the discounted room rate. The deadline for booking a room is February 25, 2010.

Draft Agenda

PDF Agenda

NUCC Releases Updates to Health Care Provider Taxonomy Code Set

January 4, 2010

The National Uniform Claim Committee (NUCC) has released its semi-annual updates to the Health Care Provider Taxonomy code set, which will go into effective on April 1, 2010. The complete code set, including lists of new codes added and modifications made, is available at: www.nucc.org/taxonomy. The PDF download version of the code set will be available shortly at: www.nucc.org/index.php?option=com_content&task=view&id=91&Itemid=53.

The changes to the code set include the addition of a new code and addition of definitions to existing codes.

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, modified items are orange, and inactive items are red.

The Health Care Provider Taxonomy code set is maintained by the NUCC. The NUCC is a voluntary organization of health care industry stakeholders representing providers, payers, designated standards maintenance organizations, public health organizations, and vendors. Additional information about the NUCC is available at: www.nucc.org.

Please email any questions or comments on the revisions to the code set to: taxonomy@nucc.org.

1500 Public Comment Survey Closed

November 30, 2009

The NUCC has closed the 1500 Public Comment Survey it conducted as part of its research on possible revisions to the 1500 Health Insurance Claim Form. The results are being compiled. We anticipate posting a summary report of the results in the upcoming weeks.

Thank you to all who took the time to complete the survey.

NUCC Releases the Revised NUCC Data Set and a 1500-837P Crosswalk

January 13, 2009

The National Uniform Claim Committee (NUCC) is releasing the revised NUCC Data Set and a 1500 Claim Form Map to the X12 837 Health Care Claim: Professional transaction (1500-837P Crosswalk) for use by the industry in converting paper claims to electronic transactions. Both documents are available on the NUCC Data Set page under the 1500 Claim Form tab. NUCC Data Set and 1500-837P Crosswalk

The NUCC Data Set is a compilation of each data element in the 837P and its relationship to the 1500 Claim Form Item Numbers. The NUCC Data Set was previously released in 2003. It has been revised to accommodate the changes related to the 08/05 version of the 1500 Claim Form.

The 1500-837P Crosswalk is a simplified map of the 1500 Item Number fields to the corresponding data elements in the 837P 4010A1 transaction. The document is intended to be used in conjunction with the NUCC Data Set.

Users of the NUCC Data Set and 1500-837P Crosswalk will need to refer to the NUCC’s 1500 Reference Instruction Manual for more specific information on the 1500 Claim Form and the X12 837 Health Care Claim: Professional 4010A1 implementation guide for more information on the electronic transaction.

The 1500 Claim Form and the NUCC Data Set are maintained by the NUCC. The NUCC is a voluntary organization of health care industry stakeholders representing providers, payers, designated standards maintenance organizations, public health organizations, and vendors. Additional information about the NUCC is available on this web site.

Please email any questions or comments about the NUCC Data Set or 1500-837P Crosswalk to info@nucc.org.

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.