The New 1500 Health Insurance Claim Form - CMS 1500

CMS (Centers for Medicare and Medicaid Services) has announced the adoption of a new version of  the 1500 claim form (CMS-1500 or HCFA-1500). The new form will accommodate the use of the National Provider Identifier (NPI) as mandated by HIPAA.

Changes to the new form include splitting of box 17a to provide for reporting of the NPI number or other identifying number. Similar changes were made to box 24I and box 33.  A detailed listing of changes to the form can be found at: 


Where can I get the new forms

DocuTrac has worked out a special arrangement with CIS - New Medical Forms for our customers to purchase the new CMS-1500 forms. Simply go to

When placing your order be sure to mention or enter the Promotional Code DocuTrac to receive Free Shipping.

Instructions for Use of New Form