payers. It is the basic paper claim form prescribed by many payers for claims submitted by physicians,
other providers, and suppliers, and in some cases, for ambulance services. This NUCC Reference Instruction Manual provides specific instructions on how to complete the 1500
Claim Form.
Click on the Link below for the instructions:
http://nucc.org/images/stories/PDF/1500_claim_form_instruction_manual_2012_02-v3.pdf