Back to Index

BCBSNC Will Only Accept New CMS 1500 Paper Form as of June 1

As you may already know, The National Uniform Claim Committee (NUCC) announced last year that the health care industry will transition to a revised version of the CMS-1500 paper claim (version 2/12) in 2014. 

Some of you may already be using the new form, which Blue Cross and Blue Shield of North Carolina (BCBSNC) is accepting and processing today.  As your billing departments and billing vendors transition to the new CMS-1500 paper claim, please note that BCBSNC will only accept the new forms as of June 1, 2014.  This communication serves as your 60-days notice regarding this form change.

Notable changes to the CMS-1500 (version 2/12) paper claim include:

  • Indicators added for differentiating between ICD-9-CM and ICD-10-CM diagnosis codes
  • The number of possible diagnosis codes expanded to 12
  • Indicator for corrected claims required (field 22)
  • Qualifiers added to identify provider roles as either:
    • Ordering
    • Referring
    • Supervising

For additional information about the revised CMS-1500 claim form, please visit the NUCC website at www.nucc.org. Please share this information with your practice management software vendor, and/or your billing service or clearinghouse, if applicable.

BCBSNC encourages participating providers to use electronic claim submissions whenever possible.  Doing so can help streamline your administrative processes, help protect your patients’ information, and may result in faster claim processing and payment.  To learn more, visit BCBSNC’s Electronic Solutions page on the provider portal of our website.