CMS-1500 Form, Version 02/12 Available for Use With Your Claim SubmissionMcNicholas, Faith C. M.Journal of the Dermatology Nurses' Association: July/August 2014 - Volume 6 - Issue 4 - p 212–213 doi: 10.1097/JDN.0000000000000056 Feature Articles Abstract Author Information Abstract ABSTRACT: Beginning April 1, 2014, the only acceptable format for paper claim submission will be on the revised CMS 1500 Form, version 02/12. Paper claim submissions using any previous format will be returned to providers as unprocessable. Learn the changes so that you can accurately complete the claim form to avoid claim submission denials. Author Information Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Coding & Reimbursement/Government Affairs, Schaumburg, IL. The author declares no conflicts of interest. Correspondence concerning this article should be addressed to Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Box 682, Skokie, IL 60077-0682.E-mail: firstname.lastname@example.org Copyright © 2014 by the Dermatology Nurses' Association.