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Get TN CMS-1500 2005-2024

Surance Claim form. The CMS-1500 (12/90) form was revised by the National Uniform Claim Committee (NUCC) to accommodate reporting of the National Provider Identifier (NPI). The CMS-1500 Health Insurance Claim Form is the basic paper claim form used by practitioners and suppliers and in some cases, for ambulance services. BlueCross BlueShield of Tennessee’s (BCBST) timeline for transitioning to the revised format follows: On these dates providers can: Prior to 1/1/07 only submit CMS-1500 (12.

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