Billing Beat

Revised 1500 Claim Form

May 1, 2006

Claim form CMS-1500 (12-90) is revised to accommodate the reporting of the National Provider Identifier (NPI) and will be named CMS-1500 (08-05). The CMS-1500 (08-05) version is effective October 01, 2006, but is not mandated for use until February 01, 2007.

The following timeline outlines the schedule for the revised claim:

  • October 01, 2006 – January 31, 2007: Providers can use either the current CMS-1500 (12/90) version or the revised CMS-1500 (08/05) version of the claim form.
  • February 01, 2007: The current CMS-1500 (12/90) version of the claim form is discontinued; only the revised CMS-1500 (08/05) form is to be used, including rebilling of claims previously billed using the old format.

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