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A CMS 1490s form will be used by the Centers for Medicare and Medicaid Services. This particular form is known as the Patient’s Request for Medical Payment form. This is a commonly used form that will be submitted in order to request that a medical service be covered under Medicare or Medicaid. Other documents like receipts or doctor’s notes can be included when submitted this form.
This form will allow a patient to submit a claim to the CMS. This claim will be investigated to determine whether or not a person will receive reimbursement for a medical procedure or treatment. In order for this form to be processed, the requesting party must include their personal information such as name, birth date, health insurance number, and address.
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