div class=ts-pagebuttonPage 1button div class=ts-image a href=https:reader030vdocumentsnetreader030viewer20220313165c480f7493f3c34c55060e75html5page1jpg target=_blank amp-img class=ts-thumb alt=Page 1: CMS1500 - vantagemedicalgroupcom · health insurance claim form approved by national uniform medicare medicaid group champva heal t x x member d* 2 patients name nårne lh src=https:reader030vdocumentsnetreader030viewer20220313165c480f7493f3c34c55060e75html5thumbnails1jpg width=142 height=106 layout=responsive amp-imga divdivdiv class=ts-pagebuttonPage 2button div class=ts-image a href=https:reader030vdocumentsnetreader030viewer20220313165c480f7493f3c34c55060e75html5page2jpg target=_blank amp-img class=ts-thumb alt=Page 2: CMS1500 - vantagemedicalgroupcom · health insurance claim form approved by national uniform medicare medicaid group champva heal t x x member d* 2 patients name nårne lh src=https:reader030vdocumentsnetreader030viewer20220313165c480f7493f3c34c55060e75html5thumbnails2jpg width=142 height=106 layout=responsive amp-imga divdivdiv class=ts-pagebuttonPage 3button div class=ts-image a href=https:reader030vdocumentsnetreader030viewer20220313165c480f7493f3c34c55060e75html5page3jpg target=_blank amp-img class=ts-thumb alt=Page 3: CMS1500 - vantagemedicalgroupcom · health insurance claim form approved by national uniform medicare medicaid group champva heal t x x member d* 2 patients name nårne lh src=https:reader030vdocumentsnetreader030viewer20220313165c480f7493f3c34c55060e75html5thumbnails3jpg width=142 height=106 layout=responsive amp-imga divdivdiv class=ts-pagebuttonPage 4button div class=ts-image a href=https:reader030vdocumentsnetreader030viewer20220313165c480f7493f3c34c55060e75html5page4jpg target=_blank amp-img class=ts-thumb alt=Page 4: CMS1500 - vantagemedicalgroupcom · health insurance claim form approved by national uniform medicare medicaid group champva heal t x x member d* 2 patients name nårne lh src=https:reader030vdocumentsnetreader030viewer20220313165c480f7493f3c34c55060e75html5thumbnails4jpg width=142 height=106 layout=responsive amp-imga divdiv