Difference between revisions of "Using the HCFA 1500 02-12"

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Revision as of 18:31, 18 March 2014

The Transition from HCFA Form 1500 (08-05) to HCFA Form 1500 (02-12)

By April 1, 2014, Medicare and other payers will require the use of the new HCFA Form 1500 (02/12).
Your practice will need to decide how and when to start using the new form.
The payers that your practice sends HCFA forms to will fall into two categories:

 1. Payers that accept HCFA 1500 02-12
2. Payers that do not accept HCFA 1500 02-12

DuxWare provides a method to print both the HCFA 1500 02-12 and HCFA 1500 08-05 based on the configuration of the DuxWare System and individual payers.


After reading this document, you will be able to:

  • Identify the HCFA-1500 (02-12)
  • Change the DuxWare System Configuration to allow for the new HCFA 1500 02-12 format.
  • Change the HCFA 1500 to the older version 08-05 to allow for payers who will still require the old format.
  • Adjust the print alignment for the new HCFA 1500 02-12.
  • Review DuxWare HCFA 1500 02/12 -Block by Block Rules


Identify the HCFA-1500 (02-12)

First, you will need to have in your possession the new HCFA-1500 02-12.
To check the version of your HCFA 1500 form, look at the bottom right of the form as illustrated below:

Version0212.png

To view the HCFA Manual on NUCC.org web site, click on the following web link:

NUCC 02/12 1500 Claim Form

Changing System Setting to Allow for HCFA-1500 02-12

Support/Management/System Configuration/

HCFA Sysconfig.png

You will land in the "System Configuration Search". Type in "HCFA Form in the open field, select Program Desc. to the right. Then, select "[Search].

SysconfigsearchHCFA.png

You will land at the following screen for HCFA Form. At the left of the program name, you will select the paper/pencil icon to edit the value.

Pencilicon.png

You will land in the "System Configuration Add/Edit". Change the Value to 2. Then, select Save. Your database is now set to default to the new HCFA-1500
version (02-12).

Value2.png

Payers That Require HCFA Form (08-05)-Older version

If you have set the system default to use the New HCFA 1500 Form 02-12, but a specific payer or payers require that you submit claims on HCFA Form (08-05), you can override the system default in the Payer Setup as illustrated below:

  • Go to Support>General>Payer Setup
  • Search For Payer
  • Under the Billing Tab, change Billing Form Type to HCFA 1500 08-05

Payersetup1.png

File:Example.jpg