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Web the only acceptable claim forms are those printed in flint ocr red, j6983, (or exact match) ink. It can be purchased in any version required by calling the u.s. The nucc has developed this general instructions document for completing the 1500claim form. Sign up to get the latest information about your choice of cms topics. Do not mail completed.

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Web the 1500 health insurance claim form (1500 claim form) is in the public domain. The nucc has developed this general instructions document for completing the 1500claim form. It can be purchased in any version required by calling the u.s. This document is intended to be a guide for completing the 1500 claim form and not definitive instructions for this purpose.

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Web accuracy of the time estimate(s) or suggestions for improving this form, please write to: Web cms 1500 dynamic list information. T his address is for comments and/or suggestions only. Read the instructions and tips below first.

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