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Fillable Tips for Completing the CMS-1500 Claim Form - ValueOptions

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Tips for Completing the CMS-1500 Claim Form Field Field Number Description Member Information (Fields 1-13) 1 Coverage Data Type Optional Instructions Show the type of health insurance coverage applicable to this claim by checking the appropriate box (e.g., if a Medicare claim is being filed, check the Medicare box). List the Insured's identification number here. Verify that the identification number corresponds...
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