Medicare Initial Enrollment Questionnaire Form – If you are looking to receive Medicare benefits, make sure you fill out a Medicare enrollment form. There are various options to complete it. In this article, we will explain how to add or modify the name of the Primary Care Provider (PCP) and ID number. We will also show you how to create a new practice area for a DMEPOS vendor that is already enrolled with CMS. If you require assistance in this process, we’ve included below a list of links for your use.
Primary Care Provider’s name and ID number
Your health plan will require you to be a primary care practitioner (PCP). This is the doctor or nurse practitioner, or physician assistant , who oversees your medical treatment and coordinates additional healthcare as part of the health plan network. Certain plans require you choose a primary care physician however, if you are left with the option of choosing, you may be required to pick one depending on the network. Medicare and Medicaid will require A PCP. Many health plans have an established network of primary care providers.
The health insurance policy you are insured by pays portions of your medical bills for your primary care physician and is also referred to as an authorization number. These numbers are required to get payment from the insurance provider, in the event they decline your claim. Once your primary care provider has approved the bill insurance companies will pay for the balance of the amount. In most cases, you will reimburse your primary care provider first. The secondary insurance will follow.
Include a new practice facility for the DMEPOS supplier who is already registered with CMS
If you are a DMEPOS provider that has joined CMS it is possible that you have issues. There are various requirements and regulations for the addition of new locations, like the proper signage to be displayed and the best way to advertise business hours. There are resources to assist you. Here are some examples of the steps you should follow. If you have questions or concerns, you can contact CMS’s Supplier Enrollment Services.
If you want to add a new practice location for a DIMEPOS provider already an enrolled member of CMS, you must complete an CMS-855B Form. This form must be completed for any change to your Medicare enrollment, including adding the new location for your practice. Additionally, CMS may request to inspect your premises to visit your location on a non-scheduled basis. If you are unsure about CMS’s requirementsyou should contact the customer service department of the company.
Download Medicare Initial Enrollment Questionnaire Form
Gallery of Medicare Initial Enrollment Questionnaire Form
