Form CMS1500 (F245-127-000) Health Insurance Claim Form - Washington

Form CMS1500 (F245-127-000) Health Insurance Claim Form - Washington

What Is Form CMS1500 (F245-127-000)?

This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form CMS1500 (F245-127-000)?
A: The Form CMS1500 (F245-127-000) is a Health Insurance Claim Form.

Q: What is the purpose of the Form CMS1500?
A: The purpose of the Form CMS1500 is to submit claims for medical services to health insurance providers.

Q: Who uses the Form CMS1500?
A: Healthcare providers use the Form CMS1500 to submit claims for reimbursement.

Q: Is the Form CMS1500 specific to Washington?
A: No, the Form CMS1500 is a standard claim form used nationwide.

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Form Details:

  • Released on February 1, 2012;
  • The latest edition provided by the Washington State Department of Labor and Industries;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CMS1500 (F245-127-000) by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form CMS1500 (F245-127-000) Health Insurance Claim Form - Washington

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