July 1, 2021

The NUCC has released its annual, updated version of its 1500 Health Insurance Claim Form Reference Instruction Manual. The updated instruction manual, Version 9.0 7/21, goes into effect immediately and is available under the 1500 Claim Form tab.

The following is a list of changes that have been made to the 8.0 7/20 version of the 1500 Instruction Manual since its release in July 2020:

• Page 2 - Added citation - Added how to cite the 1500 Claim Form
• Item Number 23, Instructions - Revised wording - Removed “pre-“ from “pre-certification” to align with wording in the 5010A1 837P. Instruction now reads: "Enter any of the following: prior authorization number, referral number, mammography certification number, or Clinical Laboratory Improvement Amendments (CLIA) number, as assigned by the payer for the current service."

DOWNLOAD THE HCFA-1500 USER MANUAL