NUCC 1500 Health Insurance Claim Form Reference Instruction Manual

NUCC 1500 Health Insurance Claim Form Reference Instruction Manual

This NUCC Reference Instruction Manual provides specific instructions on how to complete the 1500 Claim Form. Instructions and information provided align with the Accredited Standards Committee X12 (ASC X12) Health Care Claim: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1). 5010 and 5010A1 are collectively referred to as “5010A1” in this manual.

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