Shown below are the details for the item you selected from the list.
Form # |
CMS 1500 |
Form Title |
Health Insurance Claim Form |
Revision Date |
08/01/2005 |
O.M.B. # |
0938-0999 |
O.M.B. Expiration Date |
11/30/2010 |
CMS Manual |
N/A |
Special Instructions |
N/A |
| Downloads | CMS-1500 (NEW)
| Related Links Inside CMS | There are no Related Link Inside CMS
| Related Links Outside CMS | | There are no Related Links Outside CMS
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Last Modified Date : 11/26/2008
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