Health Insurance Claims Form, UB-04 CMS 1450

OMB 0938-0997

OMB 0938-0997
Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
All Historical Document Collections
Approved
 RCF Recertification 2024-01-02
Approved without change
 Revision of a currently approved collection 2023-06-07
Approved without change
 RCF New 2020-08-28
Approved without change
 Extension without change of a currently approved collection 2020-07-27
Approved with change
 Extension without change of a currently approved collection 2019-07-24
Approved with change
 Extension without change of a currently approved collection 2016-02-18
Approved without change
 Reinstatement without change of a previously approved collection 2013-03-13
Approved without change
 Extension without change of a currently approved collection 2009-08-28
Approved without change
 No material or nonsubstantive change to a currently approved collection 2007-09-24
Approved without change
 No material or nonsubstantive change to a currently approved collection 2007-01-19
Approved without change
 New collection (Request for a new OMB Control Number) 2006-05-30
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