Reminder: New CMS-1500 form effective April 1, 2014

The new Centers for Medicare and Medicaid Services CMS-1500 (02/12) claim form is now in effect. CMS revised its CMS-1500 form to accommodate reporting needs for ICD-10 and to better align with changes in electronic professional claims. The updated form, CMS-1500 (02/12), replaces the previous version of the form (CMS-1500 (08/05)).

Please be advised that beginning April 1, 2014, claims received on the old version of the form will be returned to the provider and will not be processed.

Fallon Health will not be accepting ICD 10 codes until nationally implemented.

For more information, please see the “Billing procedures” section of the Provider Manual.