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The "static" form fileds are visible on the screen only. They are for easy orientation while you are entering your medical claim. They will not print over your original CMS sheet.

Only the information entered by the user will print out. Tips: 1. Make sure your Page Scaling is set to None. The background image is being printed? This should help. How ever , failur e to furni sh inf orma tion rega rdi ng the medica l servi ces r ende re d. Failu re to furni sh any othe r inf orma tion , suc h as name or clai m num ber , would dela y. Fa ilur e to p ro vide med ical inf orma tion und er F ECA coul d be dee med an o bstr ucti on.

It is mand ator y that you tell us if you know that another part y is re spon sibl e for payi ng for your treat ment.

Y ou sho uld be awar e that P. I furt her agre e to acce pt, as payme nt in full, the amou nt paid by the Medica id progr am for those claim s subm itte d for payment under that prog ram, with the exce ptio n. I underst and that paym ent and satisf acti on of this claim will be from Fede ral and State. Accor din g to the Paperwo rk Reduct ion Act of , no perso ns are re quir ed to resp ond to a collecti on of informa tion unless it displa ys a valid OMB contr ol numbe r.

The valid OMB. For more information on government-issued forms such as tax forms, visit our blog at BlueSummitSupplies. To ask a question or just say hello, send us an email!

Larry would love to hear from you. Grace Treutel is Blue Summit Supplies' content marketing manager. She writes for work, writes for her blog, and when she's done with all that, she writes for fun. Her two finished novel manuscripts have not yet been published - but just you wait. Also, she has some kids and some pets. Find her online at How to Learn Your Twenties. I have purchased the CMS forms and envelopes. I sat down to try it out and am having problems with the font size not being able to change to fit into the text fields.

I am using a newer Apple Mini. Check our FAQs or send us a message. Subscribe Subscribe to get notified about product launches, special offers and news. Your email. Email address. First name. Last name. Your cart is empty.



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