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Workers’ Compensation Board

WCB Information Related To Novel Coronavirus (COVID-19)

CMS-1500 News


September 30, 2020

September 10, 2020

August 13, 2020

  • Additional FAQ
    • FAQ clarifies how payers should address the reduction of a bill to align with the Relative Value Unit (RVU) limitations in the Medical Fee Schedule.

July 27, 2020

  • Additional FAQ
    • FAQ clarifies the correct approach for billing surgical procedures performed by a surgeon and an assistant
  • CMS-1500 Examples

June 4, 2020

April 23, 2020

March 26, 2020

January 30, 2020

  • Examples of paper CMS-1500 submissions were updated to provide dates of service on or after January 1, 2020 (post implementation of the expanded provider legislation).

January 17, 2020

November 22, 2019

September 26, 2019

September 6, 2019

August 6, 2019

The Workers’ Compensation Board has developed a training video to show health care providers, and all others who will be using Form CMS-1500, how to use the form and the required narrative reports to bill for their services to workers’ compensation patients.

You can view the video here: CMS-1500 Training VideoLink to External Website

The Board will also hold two follow-up Q&A webinars so you can get answers to any questions you may have after viewing the training video and reading the CMS-1500 FAQ.

You’re encouraged to view the training video before attending one of the webinars.

The webinars will be held on:

September 17, 2019
8:30 a.m. - 9:30 a.m.
Register for WebinarLink to External Website

September 18, 2019
4:00 p.m. - 5:00 p.m.
Register for WebinarLink to External Website

August 2, 2019

  • Updated FAQs:
    • XML Submission Partners: Question 14
    • Providers: Question 17

August 1, 2019

May 31, 2019

  • Updated FAQs:
    • XML Submission Partners: Question 10
    • Payers: Questions 1 & 5
  • Minor edits to the XML schema were made to remove the document control ID number and add an attachment control number in field 19. Information was added to the CMS-1500 Field Requirements for XML Submission spreadsheet regarding validations that may lead to file or document rejection by the Board.

April 25, 2019

March 29, 2019

March 6, 2019

February 28, 2019

February 26, 2019

November 15, 2018

October 11, 2018

  • Additional FAQs
    • XML Submission Partners: Questions 10 through 12

September 27, 2018

  • Additional FAQs
    • General: Questions 21 through 23
    • Providers: Question 8
    • XML Submission Partners: Questions 7 through 9

August 31, 2018

August 7, 2018

  • Additional FAQs
    • General: Questions 17 through 20
    • Providers: Questions 6 and 7
    • Payers: Questions 4 through 6
  • FAQ Clarification
    • Payers: Question 3

July 25, 2018

  • Additional FAQs
    • General: Questions 4 through 16
    • Providers: Questions 4 and 5
    • XML Submission Partners: Questions 5 and 6
    • Payers: Question 3

July 20, 2018

  • Draft CMS-1500 XML schema is now available.

July 16, 2018