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Approved OMB 0938 0999 Form CMS 1500 08 05 Approved OMB 0938 0999 Form CMS 1500 08 05 2005

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[music] Welcome everyone and thanks for your time today. Did you know that there's a new CMS form 855O for providers who wish to enroll in Medicare to order or refer services only. If you are not using that current form, we will return your application without processing it. So, how do you determine if you have the newest form? There are two items you can use to verify you have the correct version. When you open the form on the CMS website, the first page is the title page. Move down to page one. In the upper right corner, you will see three items: form approved, the form number, and an expires date. The expires date you're looking for is July of 2025. If your form has any other date on it, then it is not the current version and we cannot accept it. If you move to the lower left corner of page one, the CMS form number is provided and a version date. The current version date is July of 2022. The best way to make sure you have the current version, g

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NUCC CMS-1500 2012

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NUCC CMS-1500 2005

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How to create an eSignature for the approved omb 0938 0999 form cms 1500 08 05 approved omb 0938 0999 form cms 1500 08 05

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2005-2025 Form

How it works

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How to protect your approved omb 0938 0999 form cms 1500 08 05 approved omb 0938 0999 form cms 1500 08 05 when accomplishing it online?

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To sign a approved omb 0938 0999 form cms 1500 08 05 approved omb 0938 0999 form cms 1500 08 05 right from your iPhone or iPad, just follow these brief guidelines:

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2005-2025 Form

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How to protect your approved omb 0938 0999 form cms 1500 08 05 approved omb 0938 0999 form cms 1500 08 05 when accomplishing it online?

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