Blank CMS 1500 (HCFA 1500) Paper Claim Forms - Laser Format
Current CMS 1500 (HCFA 1500) Health Insurance Claim Form APPROVED OMB-0938-0999 CMS-1500 (08-05) NUCC revised the Form CMS-1500.
The new 08/05 version of the CMS-1500 forms was revised by the NUCC effective June 29, 2007 and replaced the CMS-1500 12/90 version. The CMS1500 Form is the standard paper claim form used by a non-institutional provider or supplier to bill Medicare, durable medical equipment contractors, and private health insurance.
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