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The CMS 1500 is the red ink on white paper standard claim form used by physicians and suppliers for claim billing. Although it was developed by The Centers for Medicare and Medicaid (CMS), it has become the standard form used by all insurance carriers.
Effective January 6, 2014, the revised version (02/12) of the CMS 1500 form was approved for use. The revised CMS 1500 form (version 02/12) was developed to align with the format changes in electronic billing from version 4010 to version 5010 of 837P and the change from ICD 9 to ICD 10.
The form was launched January 6, 2014. As of April 1, 2014, providers can only use the revised CMS 1500 form (version 02/12). Any remaining stocks of 08/05 should not be used.
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