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NPI - New Medical Forms

CMS-1500 (version 08/05)

The National Uniform Claim Committee (NUCC) has released a revised CMS-1500 claim form that will accommodate NPI.  The new form CMS-1500 (version 08/05) replaces CMS-1500 (version 12/90).  During the dual-use period, CMS will accept either version of the form.  Beginning July 1, 2007, CMS will accept only CMS-1500 (version 08/05).

The new CMS-1500 (version 08/05) may be found at the National Uniform Claim Committee website, http://www.nucc.org/.

UB-04

The National Uniform Billing committee (NUBC) has approved new form UB-04 to replace UB-92.  The UB-04, also known as CMS-1450, will accommodate NPI.  During the dual-use period, March 1, 2007 through May 22, 2007, CMS will accept both the UB-04 and the UB-92 .  Beginning May 23, 2007, CMS will accept only the new UB-04 form.
The new UB-04 may be found at the National Uniform Billing Committee website, http://www.nubc.org/.

ADA 2006

The American Dental Association (ADA) will release the ADA 2006 claim form to replace the ADA 2005.  During the dual-use period, January 1, 2007 through May 22, 2007, either form will be accepted.  Beginning May 23, 2007, only ADA 2006 will be allowed.