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FREE CMS-1500 (HCFA) CLAIM FORM TEMPLATE PDF. DOWNLOAD FREE CMS 1500 CLAIM FORM FILLABLE TEMPLATE. Read the instructions and tips below first. The current version of the original manual from the National Uniform Claim Comettee of how to complete the CMS1500 claim form.
We are authorized by CMS, CHAMPUS and OWCP to ask you for information needed in the administration of the Medicare, CHAMPUS, FECA, and Black Lung programs.
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