The National Uniform Claim Committee (NUCC) is responsible for the design and maintenance of the CMS-1500 form. CMS does not supply the form to providers for claim submission.
TITLE: Reserved for NUCC Use. INSTRUCTIONS: This field was previously used to report “Other Insured’s Date of Birth, Sex.” “Other Insured’s Date of Birth, Sex” does not exist in 5010A1, so this field has been eliminated.
Beside this, What does reserved for NUCC use mean?
ITEM 9b: RESERVED FOR NUCC USE: Other insured’s date of birth and sex are no longer required. ITEM 9c: RESERVED FOR NUCC USE: Employer’s name or school name is no longer required. … If a field is marked “YES,” then there may be other applicable insurance coverage that would be primary, such as auto insurance.
Likewise, What is NUCC use?
TITLE: Reserved for NUCC Use. INSTRUCTIONS: This field was previously used to report “Other Insured’s Date of Birth, Sex.” “Other Insured’s Date of Birth, Sex” does not exist in 5010A1, so this field has been eliminated.
Also, What is box 17a on 1500 claim?
Box 17a is the non-NPI ID of the referring provider and is a unique identifier or a taxonomy code. The qualifier indicating what the number represents is reported in the qualifier field to the immediate right of 17a. … 0B – State License Number.
What is NUCC on 1500 form?
This document is published in cooperation with the National Uniform Claim Committee (NUCC) by the American Medical Association (AMA). … Any user of this document should refer to the most current federal, state, or other payer instructions for specific requirements applicable to using the 1500 Claim Form.
23 Related Question Answers Found
What does NUCC stand for?
National Uniform Claim Committee
Who uses the paper CMS 1500 form?
The CMS-1500 form is the standard claim form used by a non-institutional provider or supplier to bill Medicare carriers and durable medical equipment regional carriers (DMERCs) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of …
What goes in box 33b on a CMS 1500?
Box 33b is used to indicate a payer-assigned identifier of the Billing Provider. Some payers require the provider’s taxonomy code be listed in Box 33b.
Can CMS 1500 forms be handwritten?
Can CMS 1500 forms be hand written? Yes, in many instances, the CMS 1500 form can be handwritten.
Who uses the CMS 1500 form?
Form CMS-1500 (Health Insurance Claim Form) is used by all licensed healthcare providers to bill all medical insurances including Medicare, Medicaid and Blue Cross. Form CMS 1500 is formerly known as HCFA 1500 form and also known as the universal claim form.
What is Box 10d on HCFA?
Box 10d is used to identify additional information about the patient’s condition or the claim.
How do I fill out a CMS 1500 form?
Enter the patient’s mailing address and telephone number. On the first line enter the street address; the second line, the city and state; the third line, the ZIP code and Page 2 Instructions on how to fill out the CMS 1500 Form telephone number. If Medicare is primary, leave blank.
What is a CMS 1500 form how is it used for billing?
Form CMS-1500 is the standard paper claim form used to bill an insurance for rendered services and supplies. It provides information about the client, their corresponding insurance policy, and their diagnosis and treatment.
What does the acronym NUCC stand for?
national uniform claim committee
What goes in box 32b on CMS 1500?
Box 32b is used to indicate the non-NPI identification number of the service facility as assigned by the payer for the facility. Enter the 2-digit qualifier followed by the ID number.
What goes in box 24j on HCFA 1500?
What is it? Box 24j Shaded is used to identify the non-NPI if indicated by a qualifier in 24i. Box 24j displays the NPI of the Rendering Provider.
Can you submit Medicare claims on paper?
Submit Only Electronic Claims to Medicare, Except in These Cases. Since Oct. 16, 2003, Medicare has denied all paper claims except in the situations below. Make sure your staff submits your claims electronically unless you meet one of the exception criteria.
Last Updated: 7 days ago – Co-authors : 12 – Users : 4
