Using the HCFA 1500 02-12

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:

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/

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].

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.

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).

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