New Revised CMS-1500 Forms (Version 02/12)


The 02/2012 Revision Timeline for implementation has been released!

See below for when the forms will start to become accepted and the final phase out of the 08/05 revision. As always, be sure to check with your payer for their specific timeline as to when the forms will be accepted. Hessler Printing is ready to supply the forms for whenever you should need them during the transition.


  • January 6, 2014: Medicare begins receiving and processing paper claims submitted on the revised CMS 1500 claim form (version 02/12).
  • January 6 through March 31, 2014: Dual use period during which Medicare continues to receive and process paper claims submitted on the old CMS 1500 claim form (version 08/05).
  • April 1, 2014: Medicare receives and processes paper claims submitted only on the revised CMS 1500 claim form (version 02/12).

As we transition to the new form, Hessler Printing will also be sure to carry the previous version for you as a convenience to help you through the transition.

Watch a quick 2 1/2 minute YouTube video of the changes made to the newly revised CMS-1500 (Version 02/12).




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