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375 1793 8 19 AUTHORIZED REINSURER MISSOURI DEPARTMENT of COMMERCE and INSURANCE Form

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375 1793 8 19 AUTHORIZED REINSURER MISSOURI DEPARTMENT of COMMERCE and INSURANCE Form

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Instructions and help about 375 1793 8 19 AUTHORIZED REINSURER MISSOURI DEPARTMENT OF COMMERCE AND INSURANCE

Hi and welcome. Thanks for taking the time to watch this video today. My name is Thom Ryan with Provider Outreach and Education at WPS Government Health Administrators. I'll be your presenter for this video. This video covers completing Section 3 of the CMS provider enrollment form 855I for physicians and non-physician practitioners needing to report adverse legal actions to Medicare. We'll define what an adverse legal action is and determine if you need to complete the form next. Let's start by answering the question do I need to complete Section 3? To determine this you must complete section one. If the action you're taking requires Section 3 to be completed, then you must complete it. Most actions you take will require you to complete section 3. A couple notable exceptions are terminating your Medicare benefits and reassigning your benefits to an organization facility or other provider. To learn the definition of what CMS considers a fina

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