As a result of this joint effort, the 1500 Claim Form is accepted nationwide by most insurance entities as the standard claim form/attending physician statement for submission of medical claims. The Uniform Claim Form Task Force was replaced by the National Uniform Claim Committee (NUCC) in the mid 1990s.
What does NUCC stand for in medical billing?
National Uniform Claim Committee – NUCC.
What is a NUCC code?
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct “Levels” including Provider Grouping, Classification, and Area of Specialization. The National Uniform Claim Committee (NUCC) is presently maintaining the code set.
What does reserved for NUCC use mean?
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. This field is reserved for NUCC use. The NUCC will provide instructions for any use of this field.
What is the difference between HCFA 1500 and CMS-1500?
The HCFA 1500 claim form, also known as CMS-1500, enables medical physicians to submit health insurance claims for reimbursement from various government insurance plans including Medicare, Medicaid and Tricare. The HCFA-1500 form (CMS-1500) is used to submit charges covered under Medicare Part B.
What is RSVD for NUCC use?
What is it? Box 30 used to report Balance Due. This field has since been eliminated.
What is the difference between UB-04 and CMS 1500?
The UB-04 (CMS 1450) is a claim form used by hospitals, nursing facilities, in-patient, and other facility providers. On the other hand, the HCFA-1500 (CMS 1500) is a medical claim form employed by individual doctors & practices, nurses, and professionals, including therapists, chiropractors, and out-patient clinics.
What is ub04?
The UB-04 uniform medical billing form is the standard claim form that any institutional provider can use for the billing of inpatient or outpatient medical and mental health claims. It is a paper claim form printed with red ink on white standard paper.
What goes in box 33 on a HCFA?
Box 33 is used to indicate the name and address of the Billing Provider that is requesting to be paid for the services rendered. Enter the name, address, city, state, and ZIP code. P.O. Boxes are not allowed for electronic claims.
What is a NUCC form?
The NUCC is responsible for maintaining the integrity of the data sets and physical layout of the hard copy 1500 Claim Form. From the provider viewpoint, non-uniform data elements have caused significant frustration, claims billing and processing delays, and rejections.
How do I get a CMS 1500 form?
In order to purchase claim forms, you should contact the U.S. Government Printing Office at 1-866-512-1800, local printing companies in your area, and/or office supply stores. Each of the vendors above sells the CMS-1500 claim form in its various configurations (single part, multi-part, continuous feed, laser, etc).
How do I find my taxonomy code?
To find the taxonomy code that most closely describes your provider type, classification, or specialization, use the National Uniform Claim Committee (NUCC) code set list. Note: You may select more than one code or code description when applying for an NPI, but you must indicate one of them as the primary code..
Who can use CMS-1500?
The non-institutional providers and suppliers who can use the CMS-1500 form to bill medical claims include Ambulance services, Clinical social workers, Physicians and their assistants, Nurses including clinical nurse specialists and practitioners, Psychologists, etc. The form is usually not hospital-focused.
What is Box 10d on HCFA?
Box 10d is used to identify additional information about the patient’s condition or the claim. When required by payers, enter the Condition Code in this field.
What is Box 32 on a HCFA?
Box 32 is used to indicate the name and address of the facility where services were rendered.