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​Information Required to File a Third-Party Claim on the CMS-1500

Question 25

Multiple Choice

​Information required to file a third-party claim on the CMS-1500 form includes all but:


A) access to a photocopy of the patient's insurance card
B) the co-pay receipt given to patient at time of visit
C) ​the insured's name,full address,and telephone number
D) ​the relationship to the insured

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