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GROUP PRODUCT ENROLLMENT and CHANGE FORM with

GROUP PRODUCT ENROLLMENT and CHANGE FORM with

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Welcome to the training for completing the CMS form 855 B for certain organizations enrolling  in Medicare for the first time. This training will walk you through the process of completing the form   and help you to avoid delays in the application processing.   WPS GHA designed this program with the most current information available. All current rules and regulations will prevail.  There are some organizations that will need to complete  the CMS form 8 5 5 B, review the list provided on  this slide or on the application on page 1. If you need to, please pause this slide, make sure  your organization is listed before completing  the 855 B. If your organization is not listed, WPS GHA recommends contacting our call center for  additional help. This application is completed  for organizations that will be rendering Part B services. If the organization is part of a  facility, complete the 855 A. If your organization is a professional corporation, professional a

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