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CMS 855 Enrollment Application Revalidation Palmetto GBA  Form

CMS 855 Enrollment Application Revalidation Palmetto GBA Form

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Video instructions and help with filling out and completing CMS 855 Enrollment Application Revalidation Palmetto GBA Form

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Instructions and help about CMS 855 Enrollment Application Revalidation Palmetto GBA

[Music] if you're a health care provider caring for medicare beneficiaries you must enroll in the medicare program to build for your services understanding the enrollment process will help you navigate the process with ease the most efficient way to complete the enrollment process is through pecos which is the online enrollment system you can find more information about pecos in our video description below but for those of you submitting paper applications this video is for you we'll focus on the form cms-855b which is for clinics group practices and other suppliers such as independent laboratories we'll also give you tips to prevent processing issues and delays when submitting your form let's start by reviewing who completes the 855b and the situations when you should complete the application this form is completed by clinics group practices and other suppliers that plan to build services to part b here's a chart listing the various supplier typ

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