1500 Claim Form Reference Instruction ManualThe NUCC has developed a 1500 Reference Instruction Manual detailing how to complete the claim form. The purpose of this manual is to help standardize nationally the manner in which the form is being completed. The current version of the instructions (v 4.0) was released in July 2008. • Version 4.0 7/08 Here is a change log of all of the changes that were made to the manual from v 3.0 7/07: • V 4.0 Change Log Instruction Changes - Any changes/clarifications made to the instruction manual since July are located on the Table of Changes page. The following is a change log of all changes that have been made to the manual since Version 4.0 7/08. • Version 4.0 Change Log 12/08 Previous Versions Previous releases of the Instruction Manual: • Version 3.0 7/07 • Version 2.1 3/07 • Version 2.0 1/07 • Version 1.3 7/06 • Version 1.2 1/06 • Version 1.1 12/05 Change RequestsIf you would like to request a change for the 1500 Instruction Manual, please complete the following form. Completed forms can be emailed to Stephanie Moncada, NUCC Secretary, at Stephanie.Moncada@ama-assn.org or faxed to 312-464-5762. (Do NOT use the Change Request Form for submitting general instruction questions or for requests for an instruction manual. General questions and requests for instruction manuals can be emailed to Stephanie at the above address.) • Change Request Form
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