Resources for Implementing the 02/12 1500 Claim Form

Payers may begin accepting the 02/12 1500 Claim Form as of January 6, 2014. The following resources will assist your organization in implementing the revised form:

• Understanding the Changes to the 0212 1500 Claim Form presentation
• Updating to the 0212 1500 Claim Form

Submitters of the form should follow up with their specific payer(s) regarding their transition timeline information.