Claims Information (Appendix B)
| Document Title | Document Type | Document Size | Last Updated |
|---|---|---|---|
| HCFA/CMS 1500 | Online Resource | -- | 04/03/2015 |
| UB04 | Online Resource | -- | 04/02/2015 |
| Sample EOB | 24kb | 08/01/2013 |
| Document Title | Document Type | Document Size | Last Updated |
|---|---|---|---|
| HCFA/CMS 1500 | Online Resource | -- | 04/03/2015 |
| UB04 | Online Resource | -- | 04/02/2015 |
| Sample EOB | 24kb | 08/01/2013 |