Using the HCFA 1500 02-12

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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

Override System Default for HCFA Form (02-12) in the Payer Setup

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