Continuing to Await Approval of 02/12 Revised 1500 Form

April 25, 2013

The 02/12 revised 1500 Claim Form is still under review for approval by the Centers for Medicare & Medicaid Services (CMS). 

Although the NUCC does not anticipate major changes being made to the revised form, it is possible that changes could be made as part of the approval process.  Once the 02/12 revised 1500 Claim Form has been officially approved by CMS and OMB, the NUCC will release the final version of the form.  A timeframe of when the approval will happen is not known at this time.

The NUCC will review its proposed transition timeline once it has received approval of the form.  It will also seek input from its members, including Medicare, on the timing of the transition and deadline to use only the 02/12 revised form.

NUCC Releases January Taxonomy Code Set Updates

January 2, 2013

The NUCC has released its semi-annual updates to the Health Care Provider Taxonomy code set, which will go into effect on April 1, 2013.  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 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 color code; new items are green and orange items are modified. 

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. .

NUCC Releases Additional Updates to Version 8.0 7/12 1500 Instruction Manual

January 2, 2013

The NUCC has released additional updates to its Version 8.0 7/12 1500 Health Insurance Claim Form Reference Manual.  The changes are minor clarifications and edits and go into effect immediately. 

The complete list of changes made to the instructions since July 2012 is available in a PDF document on the "1500 Instruction Manual Changes" 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. .

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.