1500 Health Insurance Claim Form Reference Instruction Manual

Update: 17 October, 2023

The National Uniform Claim Committee (NUCC) and the American Medical Association (AMA) have published a general instructions document for completing the 1500 Health Insurance Claim Form. This document is intended to be a guide for completing the 1500 Claim Form and not definitive instructions for this purpose. Any user of this document should refer to the most current federal, state, or other payer instructions for specific requirements applicable to using the 1500 Claim Form. The NUCC Reference Instruction Manual must remain intact. Any payer-specific instructions for completion of the 1500 Claim Form need to be maintained in a separate document. The information provided here is for reference use only and does not constitute the rendering of legal, financial, or other professional advice or recommendations by the AMA or the NUCC. You should consult with an appropriate professional if you need legal, financial, or other professional advice.


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MD5 Checksum: 08B8340D8AA73D6C1D9425E5EAA5C279

Publication date: 17 October, 2023

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PDF Link: 1500 Health Insurance Claim Form Reference Instruction Manual PDF

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