Washington CMS 1500

State:
Washington
Control #:
WA-SKU-3447
Format:
PDF
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Description

CMS 1500 Washington CMS 1500 (also known as the Health Insurance Claim Form) is a standard form used by health care providers in the United States to submit claims to health insurance companies. It is designed to collect patient and provider information, as well as details about the services provided and the amounts due. The form is used for both paper and electronic health care claims. Washington CMS 1500 forms come in two varieties: CMS-1500 (02/12) and CMS-1500 (08/05). The 02/12 version is the more recent version of the form and is used for all claims submitted on or after June 30, 2015. The 08/05 version is used for all claims submitted before June 30, 2015.

Washington CMS 1500 (also known as the Health Insurance Claim Form) is a standard form used by health care providers in the United States to submit claims to health insurance companies. It is designed to collect patient and provider information, as well as details about the services provided and the amounts due. The form is used for both paper and electronic health care claims. Washington CMS 1500 forms come in two varieties: CMS-1500 (02/12) and CMS-1500 (08/05). The 02/12 version is the more recent version of the form and is used for all claims submitted on or after June 30, 2015. The 08/05 version is used for all claims submitted before June 30, 2015.

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Washington CMS 1500