Home Administrative Billing & Reimbursement BlueCard® Health and Wellness Medical PEAR portal Pharmacy Products Quality Management

Ensure successful submission of CMS-1500 claim forms and an updated toolkit now available

July 31, 2014

As previously communicated, IBC is now only acceptingthe updated version of the 1500 Health InsuranceClaim Form (CMS-1500 claim form). The new claimform (02/12), which went into effect January 6, 2014,accommodates reporting needs for ICD-10 and alignswith data captured on electronic 837 transactions.

Field 24G

To ensure that claims submitted to IBC on the CMS-1500claim form do not reject, please be sure to completeField 24G ?Days or Units?, regardless of claim type. Daysor Units is the number of days that correspond to thedates entered in Field 24A or units as defined in CPT® orHCPCS coding manuals. A unit of at least ?1? is requiredin this field.

Failure to complete Field 24G will result in a rejectedclaim with code P0021, as shown below:

  • Code P0021: ?Unit field is null or zero ___ for serviceline ___. Please correct and resubmit.?

Updated toolkit available

Our CMS-1500 toolkit has been updated to reflect detailsrelated to this requirement.

For additional tips on proper claims submission, pleasereview the article, Tips for submitting claims using thenew CMS-1500 (02/12) claim form, which was publishedin the May 2014 edition of Partners in Health UpdateSM.

If you have any questions, please contact your Network Coordinator.

CPT copyright 2012 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.


This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of Independence Blue Cross. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.
Connect with us     Facebook     Twitter     Flickr     YouTube     Walk the Talk    Independence Pinterest    Independence LinkedIn    Independence Instagram Site Map        Anti-Fraud        Privacy Policy        Legal        Disclaimer
© 2023 Independence Blue Cross.
Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.