Uniform Claims

The National Uniform Claim Committee (NUCC) was created in 1995 to develop a standardized data set for use by the non-institutional health care community to transmit claim and encounter information to and from all third-party payers. The NUCC is intended to have an authoritative voice regarding national standard content and data definitions for non-institutional health care claims in the United States.

Kathy Ochal-Thompson, Revenue Cycle Product Management/Foundation Enterprise Systems with Siemens Medical Solutions is the HIMSS NUCC representative.

Volunteer Opportunities

If you are interested in this topic, please sign up to participate on the HIMSS NUCC listserv. Participation on this listserv involves sharing and providing information and expertise to our HIMSS representative on topics, issues and questions around the NUCC. There are no conference calls. If you are interested, please email Joanne Bartley at jbartley@himss.org.

Resources

  1. NUCC Releases Updates to Health Care Provider Taxonomy Code Set, January 4, 2010

    The National Uniform Claim Committee (NUCC) has released its semi-annual updates to the Health Care Provider Taxonomy code set, which will go into effective on April 1, 2010. The complete code set, including lists of new codes added and modifications made, is available at: www.nucc.org/taxonomy. The PDF download version of the code set will be available shortly. The changes to the code set include the addition of a new code and addition of definitions to existing codes.

    When reviewing the Health Care Provider Taxonomy code set online, revisions made since the last release can be identified by the color code; new items are green, modified items are orange, and inactive items are red. The Health Care Provider Taxonomy code set is maintained by the NUCC. The NUCC is a voluntary organization of health care industry stakeholders representing providers, payers, designated standards maintenance organizations, public health organizations, and vendors. Additional information about the NUCC is available at: www.nucc.org.

    Please email any questions or comments on the revisions to the code set to: taxonomy@nucc.org.
  2. NUCC Releases Annual Updated Version of the 1500 Claim Form Reference Instruction Manual, June 22, 2009

    Chicago, IL – The National Uniform Claim Committee (NUCC) has released its annual, updated version of its 1500 Reference Instruction Manual. The updated manual, Version 5.0 7/09, goes into effect immediately. The instruction manual is available at the NUCC’s website, www.nucc.org, under the 1500 Claim Form tab. A complete list of the changes is also available on the website.

    Any interim changes, clarifications, or corrections to the instructions following this release will be posted on the NUCC website. The next release of the manual is anticipated for July 2010, unless there is an urgent need to provide an interim release.

    The 1500 instruction manual is maintained by the NUCC. The NUCC is a voluntary organization of health care industry stakeholders representing providers, payers, designated standards maintenance organizations, public health organizations, and vendors. Additional information about the NUCC is available on its website.

    For more information on the 1500 Health Insurance Claim Form Reference Instruction Manual, visit the NUCC website or email info@nucc.org.

  3. NEW NUCC Releases Updates to the Health Care Provider Taxonomy Code Set, January 5, 2009

    The National Uniform Claim Committee (NUCC) released its semi-annual updates to the Health Care Provider Taxonomy code set, which is effective April 1, 2009. The complete code set is available at: www.wpc-edi.com/codes/taxonomy. A list of the modifications to the code set is available at: http://www.wpc-edi.com/taxonomy/modified. The PDF download version of the code set will be available shortly at: www.wpc-edi.com/taxonomy/more_information. The changes to the code set include the addition of definitions to existing codes. When reviewing the Health Care Provider Taxonomy code set online, revisions made since the last release can be identified by the color code; new items are green, modified items are orange, and inactive items are red.

  4. NEW NUCC Releases Annual Updated Version of the 1500 Claim Form Reference Instruction Manual , July 1, 2008

    Chicago, IL – The National Uniform Claim Committee (NUCC) has released its annual, updated version of its 1500 Reference Instruction Manual. The updated manual, Version 4.0 7/08, goes into effect immediately. The instruction manual is available at the NUCC’s website, www.nucc.org, under the 1500 Claim Form tab. A complete list of the changes is also available on the website.

    Any interim changes, clarifications, or corrections to the instructions following this release will be posted on the NUCC website. The next release of the manual is anticipated for July 2009, unless there is an urgent need to provide an interim release.

    The 1500 instruction manual is maintained by the NUCC. The NUCC is a voluntary organization of health care industry stakeholders representing providers, payers, designated standards maintenance organizations, public health organizations, and vendors. Additional information about the NUCC is available on its website.

    For more information on the 1500 Health Insurance Claim Form Reference Instruction Manual, visit the NUCC website or contact Stephanie Moncada, NUCC Secretary, at stephanie.moncada@ama-assn.org.

  5. NEW NUCC Releases Updates to the Health Care Provider Taxonomy Code Set, July 1, 2008

    Chicago, IL – The National Uniform Claim Committee (NUCC) has released its semi-annual updates to the Health Care Provider Taxonomy code set, which will go into effect on October 1, 2008. The complete code set is available at: www.wpc-edi.com/codes/taxonomy. A list of the new codes is available at: http://www.wpc-edi.com/taxonomy/new and a list of the modifications to the code set is available at: http://www.wpc-edi.com/taxonomy/modified. The PDF download version of the code set will be available shortly at: www.wpc-edi.com/taxonomy/more_information.

    Many changes have been made to the Health Care Provider Taxonomy code set, including the addition of several new codes, the addition of several definitions for existing codes, and two changes to existing code names and definitions.

    When reviewing the Health Care Provider Taxonomy code set online, revisions made since the last release can be identified by the color code; new items are green, modified items are orange, and inactive items are red.

    The Health Care Provider Taxonomy code set is maintained by the NUCC. The NUCC is a voluntary organization health care industry stakeholders representing providers, payers, designated standards maintenance organizations, public health organizations, and vendors. Additional information about the NUCC is available at: www.nucc.org.

    Please email any questions or comments on the revisions to the code sets to: admin@wpc-edi.com.

  6. NEW Interim changes to the NUCC's 1500 Health Insurance Claim Form Reference Instruction Manual, version 3.0 7/07, have been posted on the NUCC website under the "1500 Claim Form" tab - http://www.nucc.org/index.php?option=com_content&task=view&id=33&Itemid=42. The changes are clarifications to instructions and new instructions for reporting additional information on the form. These changes will be incorporated into the next version of the instructions manual, which is planned for July 2008.
  7. NEW The National Uniform Claim Committee (NUCC) has released updates to the Health Care Provider Taxonomy code set, which will go into effect on April 1, 2008. The complete code set is available at: www.wpc-edi.com/codes/taxonomy.
  8. NUCC website: www.nucc.org
  9. Access 1500 manuals or request a change
  10. Interim changes to the NUCC's 1500 Health Insurance Claim Form Reference Instruction Manual, version 3.0 7/07, are posted on the NUCC website under the "1500 Claim Form" tab
  11. NUCC FAQs

Background

The National Uniform Claim Committee (NUCC) is a voluntary organization that replaced the Uniform Claim Form Task Force in 1995. The committee was created to develop a standardized data set for use by the non-institutional health care community to transmit claim and encounter information to and from all third-party payers. It is chaired by the American Medical Association (AMA), with the Centers for Medicare and Medicaid Services (CMS) as a critical partner. The committee includes representation from key provider and payer organizations, as well as designated standards maintenance organizations, public health organizations, and a vendor.