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  • Approved Omb 938 1197 Form 1500 Nucc 0212

Get Approved Omb 938 1197 Form 1500 Nucc 0212

On June 10, 2013, the White House Of?ce of Management and Budget (OMB) approved the revised paper claim form, CMS 1500 version 02l'12). The Centers .

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CMS 1500. Form Title. Health Insurance Claim Form. Revision Date. 2012-02-01. O.M.B. #...
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National Uniform Claim Committee - 1500 Instructions. Home. NUCC Structure.

Medicare Administrative Contractors use the data collected on the CMS-1500 and the CMS-1490S to determine the proper amount of reimbursement for Part B medical and other health services (as listed in section 1861(s) of the Social Security Act) provided by physicians and suppliers to beneficiaries.

This document is published in cooperation with the National Uniform Claim Committee (NUCC) by the American Medical Association (AMA).

This document is published in cooperation with the National Uniform Claim Committee (NUCC) by the American Medical Association (AMA).

What is it? Box 19 is used to identify additional information about the patient's condition or the claim. See the NUCC 1500 Health Insurance Claim Form Reference Instruction Manual for additional details.

In SimplePractice, you can generate CMS 1500 claim forms to submit electronically through the system, or download and print to submit outside the system.

The National Uniform Claim Committee (NUCC) is responsible for the design and maintenance of the CMS-1500 form.

National Uniform Claim Committee - Home. Home. NUCC Structure. 1500 Claim Form. Code Sets.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232