CMS-1500 Claim Form
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/file/reference?fn=workbook_cms1500_bb.pdf
WEBCMS-1500 Claim Form Description. The Health Insurance Claim form, CMS-1500, is used by Allied Health professionals, physicians, laboratories and pharmacies to bill for supplies and services provided to Medi-Cal recipients.
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