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Tuesday, November 18, 2008



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Long-Term Care - Billing Claim Forms
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ST11741N

CMS 1500 (08/05) Claim Form, Continuous, 3 part, White/Canary/Pink paper, Red (OCR) ink

ST11778N

CMS 1500 (08/05) Claim Forms, Continuous, 2 part, White/Canary paper, Red (OCR) ink

ST11842N

CMS 1450 Claim Form (UB-04), Laser, 1 part, White paper, Red (OCR) ink

ST11843N

CMS 1450 Claim Form (UB-04), Continuous, 1 part, White paper, Red (OCR) ink

ST11844N

CMS 1450 Claim Form (UB-04), Continuous, 2 part, White/White paper, Red (OCR) ink

ST11845N

CMS 1450 Claim Form (UB-04), Continuous, 3 part, White paper, Red (OCR) ink

ST11846N

CMS 1450 Claim Form (UB-04), Continuous, 4 part, White paper, Red (OCR) ink

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