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  Details for HCFA 1450
  

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Form # HCFA 1450
Form Title UB-92 MEDICARE UNIFORM INSTITUTIONAL PROVIDER BILL
Revision Date 08/01/2005
O.M.B. # 0938-0279
O.M.B. Expiration Date 11/30/2008
CMS Manual N/A
Special Instructions N/A

Last Modified Date : 10/21/2008
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