CMS 1500 Health Insurance Claim Form Forms
| Form Name | CMS 1500 Health Insurance Claim Form |
| Form # | F245-127-000 |
| Form Revision | 02-2012 |
| Category | Forms » Insurance |
| Downloads | |
| Form State | Washington |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |