Medicare Part A Enrollment Form – If you’re seeking Medicare benefits, then you must complete an Medicare enrollment form. There are a number of ways to do this. In this article, we will describe how to add or update the name of your Primary Care provider (PCP) and the ID code, and also how to set up a new practice for a DMEPOS provider that is already enrolled with CMS. If you require assistance in this process, we’ve provided links below for your reference.
Name of the Primary Care Provider and ID number
The health plan you have signed with will require you to be one primary care doctor (PCP). This can be a physician or nurse practitioner, or physician assistant who manages your medical treatment and coordinates additional healthcare within your health plan network. Certain plans require you to select a primary physician however, if you are left with an option, you may be required to select a doctor that is part of the network. Medicare and Medicaid require one, and the majority of health plans have networks of primary healthcare providers.
Your health insurance plan covers a portion of the bills for your primary care physician as well as an authorization or certification number. These numbers are required to receive payment from the insurance company, if they decline to pay your claim. After your primary healthcare provider is satisfied with the claim, the insurance company will be responsible for the remainder of your amount. In most cases, insurers will pay your primary care provider first, and secondary insurance will then pay.
Create a new practice site for a DMEPOS company already enrolled by CMS
If you are a DMEPOS company that has registered with CMS, you may have concerns. There are a myriad of requirements and rules for the introduction of new locations, like how to show appropriate signage and how to publish the hours of operation. There are many resources that can help you. Here are some examples of the procedures you should adhere to. If you have questions, contact CMS’s Supplier Enrollment Services.
To create a new practice location for an DIMEPOS provider that is already registered with CMS and you need to fill out The CMS-855B type of form. This form is required for any adjustments to your Medicare enrollment, including adding any new practice locations. In addition, CMS may request to visit your facility in an unscheduled visit. If there are any questions regarding CMS’s requirements, contact the customer service department of the company.
Download Medicare Part A Enrollment Form
Gallery of Medicare Part A Enrollment Form
