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[Music] thanks for taking the time to view this message on completing the cms form 855a medicare enrollment application this video focuses on medicare revalidation my name is tom ryan with provider outdocHub and education and ill be your narrator my goal is to decrease your chances of return or development on the provider enrollment application before you begin the application consider using the internet-based provider enrollment chain and ownership system or picos this web-based system has built-in edits to ensure the application is complete theres a link to internet-based specos and the paper application cms form 855a in the description of this video pause the video now if youd like to gather the form during this instructional video i will use page numbers they are located in the lower right corner of the form the title page looks like this and does not have a page number the first three pages are instructions on the form stop and read them if you have questions section one begins