August 3rd, 2016
The following rules for the 1500 claim form are excerpts from NUCC and Medicare instructions, but they are generally universal and apply to claims submitted either electronically or on paper. Please note that payment rules can change frequently for any payer, so consult with specific insurance payers for their adaptations.
The following excerpts listed in the 2016 ChiroCode Deskbook give you instructions from the following documents along with commentary by ChiroCode:
• 1500 Health Insurance Claim Form Reference Instruction Manual for Form Version 02/12 (version 3.0 07/15), by the National Uniform Claim Committee (NUCC).
• Medicare instructions by CMS (Rev. 3255, 05-08-15).
Please note that this segment only contains instructions or information that should be paid close attention to when submitting claims. Complete instructions are available online.
Resource: See Resource 178 for the complete list of line items and their associated guidelines and revisions, including exclusive ChiroCode tips. This resource is free for ChiroCode members.