The National Uniform Claim Committee (NUCC) is conducting a survey to gather information on the current usage of the 1500 Health Insurance Claim Form (1500 Form), both as a paper form and as a print image.

    Information from this survey will be used by the NUCC in its general work on the professional claim and its data content.  This survey is not an indication of any specific changes being considered for the 1500 Form. 
    Access the survey at:  https://www.surveymonkey.com/r/GS3BWK9 

    The survey will close at the end of the day, Friday, November 10, 2017.

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