The enclosed claims were received in our mailroom and are being returned because the incorrect claim form was used. Claims must be submitted on the CMS 1500 (08/) version of the CMS 1500 claim form printed with red "dropout" ink for the forms to be scanned into Medicare's computer system.
Newsletter 100-20 CR51 published May 2, 2007 outlines the effective date for submission of the new CMS 1500 claim form as July 2, 2007.
Thank you for your cooperation.
Medicare Part B
And so I'm left to ask:
Anyone want to buy a few hundred CMS 1500 (12/90) forms? And could you lend me just a little "dropout" ink?