-
Posting Date: 04/29/2021
Individual Medicare Enrollment Private Practice (Sole Proprietor) via EIN
Individual Medicare Enrollment Private Practice (Sole Proprietor) via EIN Download CMS-855I: Complete sections: 1, 2, 3, 4, 6, 8, 12, 13 and 15B. Notes: Be sure to complete section 4, 4A, 4A3 (enter employer identification number) 4B, [...]
Read More -
Posting Date: 05/07/2019
Individual Medicare Enrollment Sole Owner of a Corporation via Tax ID
Individual Medicare Enrollment Sole Owner of a Corporation via Tax ID Download CMS-855I: Complete sections 1, 2, 3, 4, 6, 8, 12, 13 and 15. Notes: Corporation structures: examples are PA, PC, LLC, PLLC, Inc., etc. Be sure to complete [...]
Read More -
Posting Date: 06/11/2019
Ordering/Referring Provider Only
Ordering/Referring Provider Only Download CMS-855O. Complete sections 1, 2, 3, 4, 5, 6 and 8. Note: Ordering and referring providers are only required to be enrolled in one state. Be sure to include supporting documentation for [...]
Read More -
Posting Date: 09/25/2023
Adding a New Reassignment of Benefits Using the CMS-855I
Adding a New Reassignment of Benefits Using the CMS-855I Download CMS-855I version (5/23): Complete sections 1A and B, 2A, 3, 4F (add, terminate, change reassignment), 13, and 15B and 15C IMPORTANT: If an individual is new to the [...]
Read More -
Posting Date: 06/11/2019
Electronic Funds Transfer Agreement
Electronic Funds Transfer Agreement Download and complete the CMS-588 EFT Authorization Agreement. Physicians and nonphysician practitioners who are reassigning all of their payments to another entity are not required to submit the CMS-588. [...]
Read More -
Posting Date: 09/22/2023
Individual (Group Member) Reassigning Benefits Only
Individual (Group Member) Reassigning Benefits Only Download CMS-855I: Complete sections 1, 2, 3, 4, 4F, 12, 13 and 15 (B and C). Reassignment means that an individual physician, nonphysician practitioner, or other supplier has granted [...]
Read More -
Posting Date: 11/08/2019
Supporting Documents
Supporting Documents Attach required supporting documentation for individuals or organizations. Submit all applicable documents: CMS-588 EFT Authorization Agreement and voided check or bank confirmation letter IRS document(s) confirming [...]
Read More -
Posting Date: 05/08/2025
Skilled Nursing Facility Consolidated Billing
Did you know that skilled nursing facilities (SNFs) are responsible for paying outside entities for most services provided to beneficiaries while they are in a covered Part A stay and for certain services for Part B beneficiaries? Streamline [...]
Read More