1500 Claim Form Renewed by OMB
April 10, 2017
The Office of Management and Budget (OMB) has completed its review and renewed the 1500 claim form for use by government programs, most notably Medicare. The form has been renewed in its current format, with no changes to the OMB number, data fields, or other text on the form.
Forms with the 02/12 NUCC approval date and OMB number 0938-1197 (02-12) remain in effect and valid.
The renewal of the 1500 claim form by OMB occurs every three years and is outside the scope of the NUCC's work.
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.
July 2018 Release of Updates to Taxonomy and Provider Characteristics Code Sets
July 2, 2018
The NUCC has released the semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on October 1, 2018. 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 is also available there.
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.
Additionally, seven changes have been made to the Provider Characteristics code set; six new codes have been added and one code has been revised. The complete code set is available under the "Code Sets" tab.
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.
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.