Update on New 1500 Paper Claim Form (2/12) and NCTracks

The National Uniform Claim Committee (NUCC) has published a revised 1500 Paper Claim Form (version 02/12). The goal of the NUCC in changing the 1500 form was to align the 1500 with changes in the 5010 837P transaction and accommodate ICD-10 reporting needs.

Generally speaking, NCTracks only accepts electronic submission of professional claims, either through the NCTracks Provider Portal or as an 837P X12 transaction. The exceptions are only for certain adjustments, time limit overrides, and Medicare overrides.

NCTracks is not yet fully ready to accept the new 1500 paper claim form (2/12). In the interim, providers who must submit a 1500 paper claim form can use the previous version of the form (08/05).

Alternatively, a process has been developed to accept the new 1500 paper form as long as four or fewer diagnosis codes are on the claim. Please limit to four the diagnosis codes submitted on the new claim form until the system updates are completed. If more than four diagnosis codes are submitted now, the additional diagnosis codes will not be captured and the claim may not process as intended. Claims with more than four diagnosis codes should wait until NCTracks is fully ready for an automated solution. An announcement will be posted when NCTracks is fully ready to accept the new 1500 paper claim form (2/12).