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CMS 1500 Form for Filing Physician and Supplier Medicare Claims Publisher: Health and Human Services Dept. Description: The new Form CMS-1500 (formerly HCFA 1500) is the basic form prescribed by the U.S. Government's Centers for Medicare & Medicaid Services (CMS) for filing physician and supplier Medicare claims. CMS 1500 is used by numerous Federal agencies and programs, including: 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). Health Insurance Claim Form, CMS-1500 Claim Form (Single Sheet) Publisher: Health and Human Services Dept., Centers for Medicare and Medicaid Services Description: $26/Package of 100. Price: $26.00 Health Insurance Claim Form (CMS-1500) (2 Part Snapout) Publisher: Health and Human Services Dept., Centers for Medicare and Medicaid Services Description: $29/Package of 100. Price: $29.00 Health Insurance Claim Form, CMS-1500 or HCFA 1500 Claim Form (2 part Continuation) Publisher: Health and Human Services Dept., Centers for Medicare and Medicaid Services Description: $78/Carton of 1,400. Price: $78.00 Health Insurance Claim Form (CMS-1500) (1-Part Continuation) Publisher: Health and Human Services Dept., Centers for Medicare and Medicaid Services Description: $97/Carton of 2,500. Price: $97.00 [ Top ]
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