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  • Posting Date: 06/07/2021
    Verify and Manage Signature(s)

    Verify and Manage Signature(s) Verify signatures on all application(s) submitted including applications that were “Return for Corrections”, by returning to the enrollment box in PECOS. Important: The reassignments are viewed by selecting [...]

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  • Posting Date: 09/26/2023
    Physicians or Nonphysician Practitioners With/Without Private Practice

    Physicians or Nonphysician Practitioners With/Without Private Practice Download CMS-855I. Complete the CMS-855I section 1A by selecting “You are reporting a change to your Medicare enrollment information,” then in section 1B, check all that [...]

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  • Posting Date: 03/15/2021
    Provider Clinics/Group Practices and Other Suppliers

    Provider Clinics/Group Practices and Other Suppliers Download CMS-855B. Complete the CMS-855B section 1A by selecting “You are reporting a change to your Medicare enrollment Information,” then in section 1B, check all that apply and [...]

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  • Posting Date: 11/08/2019
    Supporting Documents

    Supporting Documents Attach required supporting documentation for individuals or organizations. Submit applicable documents. CMS-588 EFT Authorization Agreement and voided check or bank confirmation letter IRS document confirming your [...]

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  • Posting Date: 11/12/2021
    Supporting Documents

    Supporting Documents Attach required supporting documentation for individuals or organizations. Submit applicable documents: CMS-588 Electronic Funds Transfer (EFT) Authorization Agreement and voided check or bank confirmation letter IRS [...]

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  • Posting Date: 11/12/2021
    Electronic Funds Transfer Agreement

    Electronic Funds Transfer Agreement Download and complete the CMS-588 Electronic Funds Transfer (EFT) Authorization Agreement. Physicians and nonphysician practitioners who are reassigning all of their payments to another entity are not [...]

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  • Posting Date: 06/07/2021
    Verify and Manage Signature(s)

    Verify and Manage Signature(s) Verify signatures on all application(s) submitted including applications that were “Return for Corrections”, by returning to the enrollment box in PECOS. Important: The reassignments are viewed by selecting [...]

    Read More
  • Posting Date: 11/15/2021
    Resolve All Errors and Verify Warnings

    Resolve All Errors and Verify Warnings Instructions for resolving all errors and warnings: Select the ‘Errors/Warning Check’ Tab.  Correct all errors identified and verify any warnings.   Related Content: Resolving PECOS [...]

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