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CMS-1500 COMMERCIAL INSURANCE ATTACHMENT Please use this form in lieu of attaching the Commercial Insurance Explanation of Benefits EOB Statement when billing Medical Assistance MA for Commercial Insurance Deductible and/or Coinsurance/Copayment. NOTE This attachment must be used when billing for commercial insurance deductible coinsurance or copayment. Medical Assistance recognizes that providers receive EOB s from commercial insurance companies that do not always provide a claim...
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