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PDF Consolidated CMS-855I/CMS-855R Enrollment Applications

Learn how to enroll and report reassignments of Medicare benefits using the consolidated version of the CMS-855I paper application or the PECOS system The CMS-855I replaces the CMS-855R and becomes effective on September 1 2023 Find out what has changed how to submit and when to contact your MAC

PDF CMS 855I 855R Enrollment & Policy Overview

Session Overview Learn how to initially enroll revalidate and submit changes of information for individual providers Cover all aspects of completing the CMS-855I & 855R with a walkthrough of both the paper and PECOS versions of the form Learn how to avoid common mistakes when submitting the 855-I&R •

PDF MEDICARE ENROLLMENT APPLICATION

The CMS-855R (Reassignment of Medicare Benefits) form has been discontinued For additional information regarding the Medicare enrollment process (including Internet-based PECOS) and to get the current version of the CMS-855I go to CMS gov/Medicare/Provider-Enrollment-and-Certification

  • Who uses cms-855b?

    Medicare Enrollment Application: Clinics/Group Practices and Other Suppliers (CMS-855B): Group practices and other organizational suppliers, except DMEPOS suppliers, use this form to begin the Medicare enrollment or revalidation process or to change enrollment information.

  • When will Macs return a cms-855i application?

    After November 1, 2023, MACs will return any newly submitted CMS-855I and CMS-855R applications on the previous versions to the provider/supplier with a letter explaining that the CMS-855I has been updated and the CMS-855R discontinued and the current version of the CMS-855I (05/23) must be submitted.

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