CMS 1500 form Field 9

Field 9 c - Reserved for NUCC Use


Field 9c of the CMS 1500 form is reserved for NUCC use. Leave Blank

MEDICARE INSTRUCTIONS - Leave blank if item 9d is completed. Otherwise, enter the claims processing address of the Medigap insurer. Use an abbreviated street address, two-letter postal code, and ZIP code copied from the Medigap insured's Medigap identification card. For example:

1257 Anywhere Street
Baltimore, MD 21204

is shown as "1257 Anywhere St. MD 21204."


    • Related Articles

    • Field 9 b - Reserved for NUCC Use

      Field 9b of the CMS 1500 form is reserved for NUCC use. Leave Blank MEDICARE INSTRUCTIONS - Leave blank.

    • FIELD 30- Reserved for NUCC Use

      This field is reserved for NUCC use. NUCC INSTRUCTIONS: This field was previously used to report “Balance Due.” “Balance Due” does not exist in 5010A1, so this field has been eliminated. This field is reserved for NUCC use. The NUCC will provide ...

    • Field 8 - Reserved for NUCC Use

      NUCC INSTRUCTIONS: This field was previously used to report "Patient Status." "Patient Status" does not exist in 5010A1, so this field has been eliminated. This field is reserved for NUCC use. The NUCC will provide instructions for any use of this ...

    • Field 19 - Additional Claim Information (Designated by NUCC)

      “Additional Claim Information” identifies additional information about the patient’s condition or the claim. NUCC INSTRUCTIONS: Please refer to the most current instructions from the public or private payer regarding the use of this field. Report the ...

    • Field 11 c - Insurance Plan Name or Program Name

      The “Insurance Plan Name or Program Name” is the name of the plan or program of the insured as indicated in Item Number 1a. NUCC INSTRUCTIONS: Enter the name of the insurance plan or program of the insured. Some payers require an identification ...