What is the CMS 1500 claim form?

History of the CMS 1500 Claim Form –

Billing insurance companies for patient services in the 1960s could be a nightmare. Every third-party payer or insurance company could and did require proprietary forms and/or codes to be used There was no universally accepted form for providers to use. It was a real mess and a wonder providers ever got paid for their services.

In the 1980s the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) along with other payer organizations formed a group called the Uniform Claim Form Task Force with the specific intent to create a standardized form. They succeeded in creating and promoting a universal health claim form called the 1500 Claim Form. This form in its subsequent iterations is now accepted nationwide by most insurance carriers.

In the 90s the National Uniform Claim Committee became responsible for the maintenance of the 1500 Claim Form. They are still the organization responsible for any updates or changes to the form. They also set the standards for what  information should be included on the CMS 1500 Claim Form  and its format.

We include the latest NUCC manual in the Speedy Claims CMS 1500 software. You can find it by clicking on “Help” and the top of the Speedy Claims window  and selecting “NUCC Claim Form Instruction” from the drop down list.

nucc-link

It covers every single field on the form.

Next: Sections of the CMS 1500 form.

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