REMINDER! The Revised CMS-1500 Claim Form Will Be Accepted Effective January 6, 2014

REMINDER! The Revised CMS-1500 Claim Form Will Be Accepted Effective January 6, 2014

Effective January 6, 2014, the Indiana Health Coverage Programs (IHCP) will begin accepting the revised CMS-1500 claim forms. Both current and revised CMS-1500 claim forms will be accepted during a transition period from January 6, 2014, through March 31, 2014.

Effective April 1, 2014, the IHCP will accept only the revised version of the CMS-1500 (02/12) paper claim form. Paper claims submitted on the current version of the CMS-1500 (08/05) after March 31, 2014, will not be processed and will be returned to the provider. The effective dates for transition to the new form are based on date of claim submission rather than date of service. For more information and instructions about filling out the revised CMS-1500, see IHCP Bulletin BT201353.