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| Health Insurance Claim Form (CMS-1500) (1-Part Continuation) |
| Availability |
Superseded |
| Stock Number |
017-060-00647-1 |
| ISBN |
|
| Price |
$97.00 |
| International Price |
$ 135.80 |
| Description |
Form CMS-1500. Form OWCP-1500. Form RRB-1500. Formerly called HCFA-1500. Health insurance claim form used for various government and private health programs: Railroad Retirement Board (RRB-1500); Office of Worker Compensation Programs (OWCP-1500) as well as Black Lung, Federal Employees' Compensation Act (FECA), and Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) claims (CMS-1500). Approved by AMA (American Medical Association)Council on Medical Service, 8/88. Consists of a single copy, double sided flat sheet form. Sold in packages of 2500 copies only. |
| Publisher |
Health and Human Services Dept., Centers for Medicare and Medicaid Services |
| Year/pages |
|
| Note |
Superseded by S/N 017-060-00648-0. |
| Key Phrases |
Medicaid, CMS 1500, HCFA 1500, OWCP 1500, RRB 1500, FECA, CHAMPUS, Medical Insurance |
| SuDocs Class |
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| Author |
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| Weight |
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| Quantity Price |
Discount |
| Binding |
Specialty Item |
| Cover |
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| Available Date |
11/01/06 |
| Subject Bibliography |
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| Status Date |
11/01/06 |
| Unit |
Package |
| Unit (non-U.S.) |
Each |
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