Form CMS-18F5 Interview/SSA Claim System
Application for Enrollment in Medicare Part A, Internet Claim (iClaim) Application Screen, Modernized Claims System and Consolidated Claim (CMS-18F5)
Consolidated Claim Experience (CCE)- Medicare Claim Intake Screen Package_V 3.0
Interview/SSA Claim System (Modernized Claims System (MCS)/Consolidated Claim Experience (CCE))
OMB: 0938-0251
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