8292p 2025

See details

4.3 out of 5

55 votes

The document outlines the enrollment process for accessing the Novitasphere Portal, which is used for Electronic Data Interchange (EDI) related to Medicare claims. It includes required fields for provider information, contract details, and security roles, as well as optional sections for additional information and software terms. The document emphasizes compliance with Medicare regulations and the responsibilities of providers in submitting claims electronically.

Here's how it works

01. Edit your 8292p form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send 8292p com via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out 8292p with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the 8292p document in the editor.
Begin with Section A, where you must check all applicable boxes under Part A (Institutional) and Part B (Professional). Ensure that you select the correct options based on your enrollment type.
In Section B, provide your provider information. Fill in all required fields marked with an asterisk (*), including your provider name, address, contact number, and email address. Make sure these details match what was reported on the CMS-855 Enrollment form.
Proceed to Section C to specify your request type. Choose between New Enrollment or Change Enrollment and provide any necessary details regarding your submission.
In Section D, designate staff members for Provider Office Approver and Back-Up Approver roles. Complete their names and emails as required.
Review all sections for accuracy before finalizing. Once completed, print the form, sign it, and date it as instructed.

Start using our platform today to simplify your form completion process for free!

See more 8292p versions

We've got more versions of the 8292p form. Select the right 8292p version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2022	4.3 Satisfied (20 Votes)
2018	4.3 Satisfied (55 Votes)
2016	4 Satisfied (27 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the Novitasphere portal?

Novitas Solutions free, web-based portal Novitasphere will allow Medicare Part B providers in Jurisdiction H or Jurisdiction L access to Eligibility, Claim Information and Remittance Advice, Claim Submission with File Status, Electronic Remittance Advice (ERA), Claim Correction, and a MailBox.

What is a novitasphere end user?

Novitasphere end user. Role description: Has access to all features of Novitasphere. Must be listed as the Provider Office Approver on the EDI Portal Enrollment form. Responsible for creating the Organization in Enterprise Identity Management (IDM)

How do I get access to Novitasphere?

There are two key pieces to enrolling for Novitasphere - the office enrollment form and the individual user access. Complete the appropriate enrollment form for your office type. Create account and request the appropriate Novitasphere role. Access Novitasphere at least once every 30 days to keep your account active.

How do I get access to CMS?

Navigate to . On the CMS Enterprise Portal page, select the New User Registration link. Select your Application (MARx Medicare Advantage Prescription Drug System) Agree to Terms and Conditions. Click the Next button. Provide the information requested on the Register Your Information page.

What is form 8292?

EDI Enrollment Form (8292) This form should be completed by providers using the SFTP connection and/or requesting access to the Fiscal Intermediary Shared System (FISS).

8292p medicare form

8292p login 8292p edi enrollment form Novitasphere 8292p Novitas EDI Enrollment form Novitas EDI Enrollment status Novitasphere Submitter ID Update Request Form Novotos How to add a user to Novitasphere

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

How to access novitas?

Access requirements Logging in to the Identity Management (IDM) system at to reset your password is required to reactivate the Novitasphere access. All users are required to enroll for their own unique User ID in IDM. Sharing of User IDs is prohibited.

8292p 2025

Here's how it works

How to use or fill out 8292p with our platform

See more 8292p versions

Complete this form in 5 minutes or less

Got questions?

What is the Novitasphere portal?

What is a novitasphere end user?

How do I get access to Novitasphere?

How do I get access to CMS?

What is form 8292?

Complete this form in 5 minutes or less

People also ask

How to access novitas?

8292p

Try more PDF tools