Paper Claims

    If you are still submitting paper claims, use the following forms to submit your claims:

    Professional Claims

    Professional claims must be submitted using the current version of the CMS-1500 form (version 02/12) on original red-ink-on-white-paper. To order a supply of forms, please use your normal process.


    Institutional Claims

    Institutional claims must be submitted using the current version of the UB-04 form. Visit the NUBC website to find details for using and ordering the new form.