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welcome to this tutorial on before billing medicare the information given in this training is correct as of may 30th 2021 the most current information contained in this presentation can be found on the meridian medicare website in the cms website at the links listed on this slide all providers are required to submit electronically except for certain exceptions one of those exceptions is being a small provider with fewer than 10 full-time equivalent employees even though small providers are eligible to submit paper claims we still encourage them to consider electronic filing some other exceptions to this rule are roster claims which are generally immunization providers medicare demonstration projects that require paper submission dental providers that submit for part b part a providers would need to complete the exception request and medicare as a tertiary payer claims i have attached the link to the page with more information for the paper claim waiver there are quite a few advantages