Medicare Privacy Statement Form

Medicare JK Part A PWK Fax/Mail Cover Sheet

Transfer of Appeal Rights

Level 1: Redetermination Request Form

Reopening Request Form

crosswalkContent

Important Information: If your National Provider Identifier (NPI) and Provider Transaction Access Number (PTAN) are not on the crosswalk, please visit the NPPES Web site at https://nppes.cms.hhs.gov/NPPES/Welcome.do to verify the supplier's [...]

Overpayment-Federally Qualified Health Center

Immediate Recoupment Request Form - Electronic/E-mail Complete this online form to initiate a request for immediate recoupment of overpayment(s). All fields are required and the form must be completed in its entirety prior to submitting [...]

PC-ACE Form Text Top

PC-ACE Download To ensure that PC-ACE and its documentation are being downloaded by National Government Services member providers and to help us determine our providers' utilization of PC-ACE software please provide the [...]

DME Mobile Application Registration and Download Form - Top

DME Mobile Application Registration & Download Form “NGS Info to GO” is the new DME mobile application; an innovative approach to deliver education to the supplier community! Our DME mobile application is free and can be downloaded at [...]