CMS-1500 (08/05) Claim Forms - Claim Form - Patterson Office Supplies
CMS-1500 (08/05) Claim Forms - Claim Form
Patterson Office Supplies carries the most up-to-date CMS claim forms. Choose from laser compatible sheets, single-sheets padded and carbonless duplicate sets. Mandatory use of this form began July 1, 2007.
Personalized forms allow personalization in lines 25, 32, 32a, 32b, 33, 33a and 33b. If in doubt about the correct ID number to use, please consult your carrier for information. You must provide us with the correct information.
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