Medicare 855b Enrollment Forms – If you’re looking to receive Medicare benefits, you have to fill out the Medicare enrollment form. There are a variety of methods for doing this. In this article, we’ll detail how you can add or modify the name of the Primary Care Provider (PCP) and identification code, as well as how to set up a new practice for a DMEPOS company who is already registered with CMS. If you require assistance in this process, we have listed below links for your guidance.
Primary Care Provider’s name and ID number
Your health insurance plan will require you to be your primary care provider (PCP). This can be a physician or nurse practitioner, or physician assistant who oversees you medical care and coordinates other care within your health plan network. Certain plans require you select a primary care provider however, if you are left with no choice, you might have to select one depending on the network. Medicare and Medicaid requires you to be an PCP. The majority of health plans offer a network of primary care providers.
Your health insurance plan pays certain percentage of your bills for your primary physician as well as an authorization or certification number. These numbers are required to receive payment from the insurer, should they decline to pay your claim. After your primary healthcare provider has accepted the bill, the insurance company will then pay for the remainder of the bill. In the majority of cases, insurers will pay your primary care provider initially, while the secondary insurance will follow.
Set up a practice location for the DMEPOS provider already enrolled in CMS
If you’re a DMEPOS supplier that is already signed up with CMS in the past, you may have concerns. There are numerous requirements and rules to be followed when adding new locations, for example, how to post appropriate signage and how to list the hours of operation. The good news is that there are tools that can aid you. Here are some examples of the processes that you must adhere to. If you have questions then contact CMS’s Supplier Enrollment Services.
If you wish to create a brand new practice location for the DIMEPOS supplier already enrolled with CMS, you must complete an CMS-855B Form. This form will be required for any amendments to your Medicare enrollment, such as adding new locations for practice. Additionally, CMS may request to visit your site to visit your location on a non-scheduled basis. If you’re not sure about CMS’s rules, call the company’s customer service department.
Download Medicare 855b Enrollment Forms
Gallery of Medicare 855b Enrollment Forms
