Billing Beat

CMS-1500 – Revised Timeline

August 1, 2006

Form CMS-1500 (08/05) will be implemented January 02, 2007. Providers will not be mandated to use the revised Form CMS-1500 (08/05) until April 02, 2007. Providers may contact TFP Data Systems at JRMagdaleno@tfpdata.com to receive copies of the revised form.

The revised implementation time line is (revised June 30, 2006):

  • January 02, 2007: Health plans, clearinghouses, and other information support vendors should be ready to handle and accept the revised Form CMS-1500 (08/05). Note: To circumvent processing delays, providers are encouraged to submit both their NPI and provider identification number (PIN) on the revised Form CMS-1500 (08/05).
  • January 02, 2007 – March 30, 2007: Providers can use either the current Form CMS-1500 (12/90) version or the revised Form CMS-1500 (08/05) version.
  • April 2, 2007: The current Form CMS-1500 (12/90) version is discontinued; only the revised Form CMS-1500 (08/05) will be accepted.

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