BECAUSE THIS FORM IS USED BY VARIOUS …
https://www.cigna.com/static/www-cigna-com/docs/form-cms1500.pdf
WEBinsurance, liability, no-fault, worker’s compensation or other insurance which is responsible to pay for the services for which the Medicare claim is made. See 42 CFR 411.24(a). If item 9 is completed, the patient’s signature authorizes release of the information to the health plan or agency shown.
DA: 99 PA: 89 MOZ Rank: 97