In Alaska, healthcare providers can use the CMS-1500 (HCFA) Form to file original workers' compensation medical bills.

CMS-1500 Form Instructions

Per Section 23.30.097 of the 2024 Alaska-Medical Fee Schedule, providers are required to submit an “appropriate form,” but no further information is provided. The state has indicated that most payers in the state accept the CMS-1500 Form but no specifications are provided.

To make things easier for you, daisyBill created this NUCC CMS-1500 Instructions Table showing the requirements of the National Uniform Claim Committee (NUCC), the entity which created and maintains the form. This information is provided for educational purposes only and is not intended to represent state-specific requirements.

For additional information, review the complete NUCC Manual:
1500 Health Insurance Claim Form Reference Instruction Manual for Form Version 02/12

Timely Filing

Reports and bills must be filed within 180 days of the date of service for all services rendered in Alaska.

For additional billing information please refer to daisyBill’s Alaska Billing Guide.

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