Name of Manual - Blue Cross and Blue Shield of Minnesota

Claims Filing
Ordering Forms and Manuals
HCPCS, CPT and
ICD-9-CM Manuals
HIPAA Implementation
Guides
Minnesota Uniform
Companion Guides
1500 HICF (CMS-1500)
UB-04 (CMS-1450)
Forms
HCPCS, CPT and ICD-9-CM manuals can be purchased from
major bookstores or publishers, such as the American Medical
Association.
To order national Electronic Data Interchange Transaction Set
Implementation guides on paper or electronic versions, contact
Washington Publishing Company.
1-800-972-4334
Or visit their website at:
www.wpc-edi.com
Minnesota Uniform Companion Guides containing instructions for
electronic transactions are available free of charge on the AUC
website under “Guides” at:
health.state.mn.us/auc/
To order 1500 HICF and UB-04 forms contact:
U.S. Government Printing Office
(202) 512-0455 or visit the website at:
cms.hhs.gov/CMSForms/
You may also contact form vendors or publishers, such as the
American Medical Association or the American Hospital
Association.
UB-04 Manual To order the UB-04 Manual contact:
National Uniform Billing Committee (NUBC) at
nubc.org/become.html for more information and an order form,
or call the American Hospital Association at (312) 422-3390 for
questions.
1500 HICF Manual The National Uniform Claim Committee 1500 Health Insurance
Claim Form Reference Instruction Manual is available at
nucc.org/.
8-14 Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (05/10/12)