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The Revised CMS-1500 Form at a Glance 9 23211-U Please be aware that the revised form is available for testing and preparation purposes only, and should not be used for official claims. 1500 Claim Form 1500 Claim Form 02/12 Version. Use of the Version 02/12 1500 Claim Form went into effect April 1, 2014.. There are a large amount of one-stop library of PDF forms and templates, you can free download, edit, fill, print and sign.
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