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Medicare Fee For Service Legacy Provider IDs Prohibited on Form CMS-1500 and Form CMS-1450 (UB-04) Claims

Medicare Fee for Service contractors shall not report Medicare legacy provider identification numbers on Form CMS-1500 and Form CMS-1450 (UB-04) claims. Claims containing legacy provider identification numbers will be returned without appeal rights. References to the former 12-90 version of the Form CMS-1500 have been deleted from the Pub. 100-04 Chapter 26, Section 10.4 manual instructions.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 01, 2008

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.