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Form health claimDocHubcom 2012-2019-2025

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4.4 out of 5

541 votes

The document is a Health Insurance Claim Form (OWCP-1500) used for submitting medical claims under various federal programs, including the Federal Employees' Compensation Act (FECA), Black Lung Benefits Act (BLBA), and Energy Employees Occupational Illness Compensation Program Act (EEOICPA). It outlines the necessary patient and insured information, details about medical services provided, and instructions for completing the form to ensure proper processing and payment of claims.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (191 Votes)
2012	4.4 Satisfied (541 Votes)
2006	4 Satisfied (42 Votes)

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