Related links
Aetna - Medicare Medical Claim Reimbursement Instructions
Fill out this form if youre asking for a medical, dental, vision, hearing, or vaccine reimbursement and you paid a doctor, healthcare professional, or service
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Medicare
Provider Reimbursement Manual. Part 2, Provider Cost Reporting Forms and. Instructions, Chapter 40, Form CMS 2552-10. Centers for Medicare and.
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How do I file a claim?
Fill out the claim form, called the Patient Request for Medical Payment form (CMS-1490S) [PDF, 52KB). You can also fill out the CMS-1490S claim form in
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