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Form # CMS 1450
Form Title UB-04 Uniform Bill
Revision Date 03/01/2007
O.M.B. # 0938-0997
O.M.B. Expiration Date 10/31/2012
CMS Manual N/A
Special Instructions N/A

 


 
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UB-04 Medicare Claims Processing

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Last Modified Date : 01/19/2010
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