Important Guidance When Submitting Paper CMS 1500 Claims

There are still a few situations in which it is appropriate to submit a paper CMS 1500 claim, such as time limit override requests. It is acceptable to mail multiple paper CMS 1500 claims in a single packet to NCTracks. However, when submitting paper CMS 1500 claims, it is essential that you treat each claim submitted as a separate entity.

In other words, providers need to indicate the total on each claim submitted, as well as attach any applicable documentation to EACH claim. This is true even if the applicable documentation is the same for multiple claims.

We do not process multiple claims as one claim. Each CMS 1500 form is an individual claim and is processed separately.

If submitting an override request or claim with any documentation, providers must include all documentation with each individual claim. Failure to include applicable documentation for each claim submitted may result in claim denials or slower processing due to pended claims.