NUCC Annual Release of 2018 1500 Instruction Manual
June 29, 2018
The NUCC has released its annual, updated version of its 1500 Health Insurance Claim Form Reference Instruction Manual. The updated instruction manual, Version 6.0 7/18, goes into effect immediately and is available under the 1500 Claim Form tab.
All changes that were made to the instructions following the July 2017 release have been incorporated into this version of the instruction manual. A change log showing all of the updates is also available under the 1500 Claim Form tab. Any interim changes, clarifications, or corrections to the instructions following this release will be posted on the NUCC website.
Do NOT email, fax, or mail completed 1500 Claim Forms to the NUCC. The NUCC does not process claims. Send completed forms to the appropriate payer.
Results of NUCC Survey on 1500 Form Usage
January 29, 2018
The NUCC conducted a survey from October to November 2017 to gather information on the current usage in the industry of the 1500 Health Insurance Claim Form (1500 Form), both as a paper form and as a print image. The results of the survey are available here.
Overall, the survey found that there continues to be significant use of the 1500 Form within the industry. The top reasons for using the 1500 Form among all stakeholders were 1) attachments; 2) coordination of benefits; 3) workers' compensation, property and casualty, and auto claims; 4) claims for specific services; and 5) primary claims.
The NUCC plans to use the information from this survey in its general work on the professional claim and its data content. This survey is not an indication of any specific changes being considered for the 1500 Form.
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.