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What is an 855 for billing?

New provider enrollment, address changes, and provider file updates (e.g., practice name or change of ownership) must be submitted on the proper CMS form 855, depending on the type of provider/supplier, or through internet-based Provider Enrollment, Chain and Ownership System (PECOS).

What are CMS forms?

CMS Forms. The Centers for Medicare Medicaid Services (CMS) is a Federal agency within the U.S. Department of Health and Human Services. Many CMS program related forms are available in Portable Document Format (pdf).

What is an 855 application?

Institutional providers can apply for enrollment in the Medicare program or make a change in their enrollment information using either: The Internet-based Provider Enrollment, Chain and Ownership System (PECOS), or The paper CMS-855A enrollment application.

What type of provider would use the CMS-855A?

What is the 855A? ❖ The Medicare Enrollment Application for Institutional Providers. ❖ This form is also used to submit changes to your enrollment data.

What is one reason why a provider would complete a CMS 855B form?

What is the 855B? ❖ The CMS form used for the enrollment of Clinic/Group practices and Certain Other Suppliers. This form is also used to submit changes to your enrollment data.

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