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.
Harvard Pilgrim will no longer 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 for resubmission on the appropriate form. For more information, please see the paper claims section of the Provider Manual.