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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 6: Claims Filing : 6.5 CMS‑1500 Paper Claim Filing Instructions : 6.5.3 CMS‑1500 Blank Paper Claim Form

6.5.3
CMS1500 Blank Paper Claim Form

Texas Medicaid & Healthcare Partnership
CPT only copyright 2011 American Medical Association. All rights reserved.