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Get Cms 1500 Bulletin Bt200703

EDS P. O. Box 7263 Indianapolis IN 46207-7263 Page 1 of 9 For more information visit www. indianamedicaid.com/ Indiana Health Coverage Programs Provider Bulletin BT200703 Updated CMS-1500 Paper Claim Form Requirements January 30 2007 CMS-1500 Paper Claim Form Changes and Requirements This section provides a brief overview of the changes required for completion of the revised CMS1500 claim form. The current CMS-1500 12/90 version of the claim form.

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