Content on this page requires a newer version of Adobe Flash Player.

Get Adobe Flash player

Transition to the new CMS 1500 Form

For dates of service from January 1, 2014 through September 30, 2014, providers may use, and insurers must accept, either the "old" CMS 1500 (version 08/05) or the "new" CMS 1500 (version 02/12).

Starting with dates of service October 1, 2014, providers are no longer allowed to use the old 08/05 form, but instead they must use the 02/12 version. If providers bill with the version 08/05 CMS 1500 for dates of service after 9/30/14, insurers may return the bill.

Questions? Contact us at 503-947-7606 or e-mail