CMS-1500 definition

CMS-1500 means the CMS-1500 form and instructions that are used by non institutional providers and suppliers to bill for outpatient services. Use of the most current CMS-1500 form is required.

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CMS-1500 means the standard claim form, maintained by the National Uniform Claim Committee (NUCC), used by a non-institutional provider or supplier to bill Medicare carriers, Medicare administrative contractors, and Medicaid State agencies.

CMS-1500 means the billing claim form for healthcare services approved by the Centers for Medicaid and Medicare Services, which is used by physicians (formerly the HCFA 1500).

Examples of CMS-1500 in a sentence

• If a prudent layperson review determines the service was not an emergency, the Contractor shall reimburse for physician services billed on a CMS-1500 claim, in accordance with the IHCP Provider Bulletin.

• This address is used for submitting all claims to HealthChoice for processing and appears in box 33 of the CMS-1500 claim form or box 2 on the UB-04.

• All services must be billed on a UB04 or CMS-1500 or successor claim form, as applicable, consistent with CMS implementation date and Medicare billing guidelines.

• For professional services billed on a CMS-1500 or successor form, 160%, and for technical services billed on a UB-04 form, 200% of current rate under the Medicare FQHC Prospective Payment System.

• Facility claims are submitted using the UB-04 layout, professional claims are submitted using the CMS-1500 layout.

• This address is used for submitting all claims to DOC for processing and appears in box 33 of the CMS-1500 claim form or box 2 on the UB-04.

• Reimbursement will be made pursuant to the Florida Medicaid Qualified Organization Reimbursement Handbook, CMS-1500.

• Hospital billed CRNA services shall be filed on a CMS-1500 or successor claim form according to Medicare billing guidelines with the appropriate modifier(s), and reimbursement will be based on the Medicare CRNA fee schedule.

• County will bill CalOptima on a CMS-1500, UB-04 claim form, or electronic equivalent.

• Health Insurance Claim Form (CMS-1500) or Dental Claim Form, • Insurance EOB (if applicable), and • MO HealthNet RA (if applicable).

More Definitions of CMS-1500

CMS-1500 means the health care provider claim form number 1500 created by CMS, as such form exists on the date of this Agreement and as it may be amended, modified or superseded thereafter during the term of this Agreement.

CMS-1500 means the claim form “Centers for Medicare & Medicaid Services 1500” or its successor form.

CMS-1500 means the health care provider claim form number 1500 created by CMS (and taking the place of HCFA 1500 forms), and as it may be amended, modified or superseded thereafter during the term of this Agreement.

CMS-1500 means the health care provider claim form number 1500 created by CMS (formerly HCFA-1500), as such form exists on the date of this Agreement and as it may be amended, modified or superseded thereafter during the term of this Agreement.