ResourcesBehavioral Administrative GuidelinesClaims Information (Appendix B)
Claims Information (Appendix B)
| Document Title | Document Type | Document Size | Last Updated |
|---|---|---|---|
| HCFA/CMS 1500 | Online Resource | -- | 09/01/2021 |
| UB04 | Online Resource | -- | 09/01/2021 |
| Sample EOB | 340kb | 09/01/2021 |