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CMS-1500 02/12 Reference Guide for PROMISe instructions for the CMS-1500 Health Insurance Claim Form by comparing the old 08/05 please refer to the PA
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1500 Claim Form Reference Instruction Manual. The current version of the instructions for the 02/12 1500 Claim Form was released in July 2017.
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PA-1000 Property Tax or Rent Rebate Claim (08-16) PA Department of Revenue P.O. Box 280503 Harrisburg PA 17128-0503 2016 8. See the instructions on Pages 6 and 7.
Updated 07/27/2017 CMS-1500 (02-12) Claim Form Instructions pv05/18/2015 1 These instructions address Nevada Medicaid paper claim requirements.
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