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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

April 2014

CMS 1500 (08/05) Form Rejected After June 15


Harvard Pilgrim is now accepting the new Centers for Medicare and Medicaid Services (CMS) 1500 Claim Form (revision 02/12). The updated form, CMS-1500 (rev. 02/12), has replaced the CMS-1500 (rev. 08/05) form.

After June 15, 2014, Harvard Pilgrim will not process paper claims for professional services submitted on any old version CMS claims forms (including rev. 08/05); these claims will be returned to the provider without being processed. For more information, please see the paper claims section of the Provider Manual.

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CMS 1500 (08/05) Form Rejected After June 15

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,
Editor

Kristin Edmonston,
Production Coordinator