National Uniform Claim Committee

51. NUCC Transition Timeline for 02/12 1500: (Announcements); August 6, 2013 The NUCC has approved a transition timeline for the version 02/12 1500 Health Insurance Claim Form (1500 Claim Form). In June, the NUCC announced the approval of the updated 1500 Claim ...; Created on 06 August 2013
52. Final Approval of the 02/12 1500 Claim Form: (Announcements); ... in the Accredited Standards Committee X12 (ASC X12) Health Care Claim: Professional (837P) Version 5010 Technical Report Type 3. The Office of Management and Budget (OMB) has approved the 1500 Claim Form ...; Created on 12 June 2013
53. 08/05 1500 Claim Form: (1500 Claim Form); ... and private-sector collaboration governed by formal Bylaws. Data sets for institutional and professional (non-institutional) claims/encounters must be coordinated. To foster coordination the NUCC works ...; Created on 12 June 2013
54. Questions about the DSMO Process?: (Active - Home Page); 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 ...; Created on 09 July 2012
55. New: 7/1/2014: (Provider Taxonomy); ... surgeon including, but not limited to, obtaining patient history, assisting with examinations, injections, recording of office notes, and application/adjustment/removal of splints, casts, and other immobilization ...; Created on 01 July 2012
56. New: 7/1/2015: (Provider Taxonomy); ... approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the ...; Created on 01 July 2012
57. New: 1/1/2016: (Provider Taxonomy); ... Claim Committee, 2015 1835C0205X Under the Pharmacy Service Providers; Pharmacist the Critical Care was added: Critical Care A licensed pharmacist who has demonstrated specialized knowledge ...; Created on 01 July 2012
58. New: 7/1/2016: (Provider Taxonomy); ... The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes ...; Created on 01 July 2012
59. New: 1/1/2017: (Provider Taxonomy); ... in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. Source: ...; Created on 01 July 2012
60. New: 7/1/2017: (Provider Taxonomy); ... and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management. Source: ...; Created on 01 July 2012
61. Modifications: 7/1/2015: (Provider Taxonomy); ... health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of ...; Created on 01 July 2012
62. Modifications: 1/1/2016: (Provider Taxonomy); ... services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment ...; Created on 01 July 2012
63. Modifications: 7/1/2017: (Provider Taxonomy); ... with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited ...; Created on 01 July 2012
64. I have a completed claim form. Where do I send it?: (1500 Claim Form: Frequently Asked Questions); Completed claim forms are to be sent to the insurance company, payer, or other entity responsible for paying the claim. The NUCC does not process claims, so completed claim forms should not be sent to ...; Created on 04 October 2010
65. Release of 2016 1500 Instruction Manual: (Announcements); July 1, 2016 The NUCC has released its annual, updated version of its 1500 Health Insurance Claim Form Reference Instruction Manual for the 1500 Claim Form. The updated instruction manual, Version 4.0 ...; Created on 28 June 2010
66. Release of 2017 1500 Instruction Manual: (Announcements); June 30, 2017 The NUCC has released its annual, updated version of its 1500 Health Insurance Claim Form Reference Instruction Manual. The updated instruction manual, Version 5.0 7/17, goes into effect ...; Created on 28 June 2010
67. NUCC Survey on Usage of 1500 Form: (Announcements); The National Uniform Claim Committee (NUCC) conducted a survey to gather information on the current usage of the 1500 Health Insurance Claim Form (1500 Form), both as a paper form and as a print ...; Created on 14 October 2009
68. Results of NUCC Survey on 1500 Form Usage: (Active - Home Page); 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 ...; Created on 14 October 2009
69. Permission to Use and Distribute the Health Care Provider Characteristics and Resources Code Set: (Provider Characteristics); ... that includes the AMA's copyright notice and is posted on www.nucc.org and to incorporate and distribute the Provider Taxonomy in your products in the United States (Products) subject to the following agreements ...; Created on 14 April 2009
70. Health Care Provider Characterstics Codes CSV: (Provider Characteristics); Health Care Provider Characteristics Codes CSV The current version of the Health Care Provider Characteristics Codes as a Comma Separated Values (CSV) file: Version 2.0, 1/09 For commercial use, ...; Created on 13 April 2009
71. Is there a revision summary?: (Characteristics More Information); Code value 12, meaning, This is a multi-specialty group, was deactivated effective 10/1/2005 Code value 2V, meaning, Assistive aid information not collected from the provider, was added to the ...; Created on 13 April 2009
72. Who maintains them?: (Characteristics More Information); The National Uniform Claim Committee Code Subcommittee. The NUCC Data Subcommittee also maintains the related Health Care Provider Taxonomy Code Set code list. ...; Created on 13 April 2009
73. Provider Characteristics Code List: (Provider Characteristics); ... liability coverage has been restricted/terminated/or modified Start: 01/01/2004 16 This is the provider's primary insurance coverage Start: 01/01/2004 17 This is the provider's excess insuran ...; Created on 13 April 2009
74. Permission to Use and Distribute the Health Care Provider Taxonomy Code Set: (Provider Taxonomy); ... and is posted on www.nucc.org and to incorporate and distribute the Provider Taxonomy in your products in the United States (Products) subject to the following agreements: In consideration of thi ...; Created on 01 March 2009
75. Is there background information?: (Taxonomy More Information); ... and coding an external provider code set that would be able to codify provider type and provider area of specialization for all health care related providers. CMS' intent was to provide a single coding ...; Created on 01 March 2009
76. Health Care Provider Taxonomy Code Set (CSV): (Provider Taxonomy); Health Care Provider Taxonomy Code Set CSV The current version of the Health Care Provider Taxonomy Code Set as a Comma Separated Values (CSV) file: Version 18.0, 1/1/18 Previous versions: Version ...; Created on 01 March 2009
77. Are there other download formats?: (Taxonomy More Information); The complete list for the current release Version 18.0 is available as a PDF and as a Comma Separated Values file (CSV) and as an enhanced CSV file as well as an EDI formatted file suitable for updating ...; Created on 01 March 2009
78. Who maintains them?: (Taxonomy More Information); The National Uniform Claim Committee Code Subcommittee. The NUCC Data Subcommittee also maintains the related Provider Characteristic code list. ...; Created on 01 March 2009
79. How are they maintained?: (Taxonomy More Information); ... including processing code requests and overall maintenance, are performed by the NUCC Code Subcommittee. MEDICAID All requests related to Medicaid should first be coordinated by the National Medicaid ...; Created on 01 March 2009
80. Does choosing a taxonomy code mean I met the licensure/certification requirements for that provider?: (Taxonomy More Information); No. The Health Care Provider Taxonomy codes are self-selected by the provider. Selection of a taxonomy code does not replace any credentialing or validation process that the organization requesting the ...; Created on 01 March 2009
81. How many categories are there?: (Taxonomy More Information); ... Nutritional Service Providers Emergency Medical Service Providers Eye and Vision Service Providers Nursing Service Providers Nursing Service Related Providers Other Service Providers Pharmacy ...; Created on 01 March 2009
82. What do the Levels mean?: (Taxonomy More Information); ... A more specific service or occupation related to the Provider Grouping. For example, the Classification for Allopathic & Osteopathic Physicians is based upon the General Specialty Certificates as issued ...; Created on 01 March 2009
83. How do I use the On-Line list?: (Taxonomy More Information); ... and "General Practice" is listed as code "1223G0001X". To verify that this code is what you will select, click the [definition] link to display a definition: Not every code will display ...; Created on 01 March 2009
84. NUCC Data Set and 1500-837P Crosswalk: (1500); ... updated until the completion of the revisions to the 1500 form. Users of the 1500 - 837P Crosswalk will need to refer to the NUCC's 1500 Reference Instruction Manual for mre specific information on ...; Created on 13 January 2009
85. Can I have information pre-printed on our claim forms so I don't have to re-enter it each time?: (1500 Claim Form: Frequently Asked Questions); Any information that you have pre-printed on your forms should be information that will remain the same regardless of the payer you are submitting to. One example may be the Billing Provider Information. ...; Created on 04 May 2007
86. Where can I find a crosswalk between the 08/05 1500 Claim Form and 837P?: (1500 Claim Form: Frequently Asked Questions); The NUCC Data Set provides a crosswalk between the 837P and the 1500 Claim Form. The NUCC has also created a 1500-837P Crosswalk. Both documents are available under the "1500 Claim Form" tab on the NUCC ...; Created on 13 November 2006
87. My payer has given me different instructions than the manual. What should I do?: (1500 Claim Form: Frequently Asked Questions); The NUCC's goal in developing the 1500 Claim Form Reference Instruction Manual is to help standardize nationally the manner in which the form is completed. We do recognize, however, that some payers wil ...; Created on 13 November 2006
88. Do I have to use a form that is in red ink or can I use a form that is copied or printed in black?: (1500 Claim Form: Frequently Asked Questions); ... forms that are submitted in black ink. ...; Created on 13 November 2006
89. Can I report more than six services now that the form has additional lines in 24?: (1500 Claim Form: Frequently Asked Questions); No. The form continues to accommodate the reporting of only six services. The shaded areas of lines 1-6 are to accommodate supplemental information being reported for the service. ...; Created on 12 November 2006
90. 1500 Instructions (2): (1500); ... the manner in which the form is being completed. The current version of the instructions for the 02/12 1500 Claim Form was released in July 2017. • Version 5.0 7/17 1500 Instruction Manual DO NOT ...; Created on 21 October 2006
91. Who Are We?: (Active - Home Page); 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 ...; Created on 20 October 2005
92. Provider Characteristics: (Provider Characteristics); ... use it. PDF is where you can view, save, and print a PDF version of the current code set. CSV is where you can download a Comma Separated Values (CSV) version of the code set. Vendors intereste ...; Created on 14 October 2005
93. Condition Codes: (General); ... Physical Condition Caused by, Arising from or Exacerbated by the Pregnancy Itself AE Abortion Performed due to Physical Health of Mother that is not Life Endangering AF Abortion Performed ...; Created on 14 October 2005
94. Definitions: (General); Definitions The following definitions apply to terms used in the Professional Claim. PROVIDER TERMS Referring Provider The Referring Provider is the individual who directed the patient for ...; Created on 14 October 2005
95. Resources: (Resources); ... Standards Institute (ANSI) www.ansi.org Accredited Standards Committee X12 (ASC X12) www.x12.org Centers for Medicare & Medicaid Services (CMS) www.cms.hhs.gov Council for Affordable Quality Healthcare ...; Created on 14 October 2005
96. Health Care Provider Taxonomy: (Provider Taxonomy); ... t or previous versions of the code set. CSV is where you can download a Comma Separated Values (CSV) version of the code set. Vendors interested in incorporating the Health Care Provider Taxonomy co ...; Created on 24 July 2005
97. 1500 Claim Form (3): (1500); ... Claim Form 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. To receive copies of the 02/12 1500 Claim ...; Created on 24 July 2005
98. Washington Publishing Company: (Search - Web Links / HIPAA); WPC is the exclusive publisher for all ASC X12N Implementation Guides adopted under HIPAA. ...; Created on

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