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Get the free Claim Form CMS-1500 - Anthem

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P M A S PLEASE PRINT OR TYPE E L APPROVED OMB-0938-1197 FORM 1500 (02-12)
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The CMS-1500 form is a standard claim form used by healthcare providers to bill insurance companies for services provided to patients.
Healthcare providers and medical facilities are required to file the CMS-1500 form when billing insurance companies for services rendered to patients.
The CMS-1500 form should be filled out with patient information, service provided, diagnosis codes, and insurance information following the specific guidelines provided by insurance companies.
The purpose of the CMS-1500 form is to request payment from insurance companies for healthcare services provided to patients by healthcare providers.
Patient information, service provided, diagnosis codes, insurance information, and provider information are some of the key pieces of information that must be reported on the CMS-1500 form.
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