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This number will be automatically deactivated if it is inactive for 12 consecutive months. A new HCFA Form 855 must be completed and approved to re-activate the billing number. Clinical Laboratory Improvement Amendments CLIA Number This number is assigned to laboratories who are certified by the Health Care Financing Administration HCFA under the HCFA 855 1/98 Note Any laboratory soliciting or accepting specimens for laboratory testing is required to hold a valid certificate issued by the...
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What is hcfa 855?
HCFA 855 is a standard form used by healthcare providers to enroll in the Medicare program.
Who is required to file hcfa 855?
Healthcare providers who want to participate in the Medicare program are required to file HCFA 855 form.
How to fill out hcfa 855?
To fill out HCFA 855, healthcare providers need to provide information such as their contact details, NPI number, practice information, and other required information as per the instructions provided with the form.
What is the purpose of hcfa 855?
The purpose of HCFA 855 form is to enroll healthcare providers in the Medicare program, update their information, or make changes to their enrollment.
What information must be reported on hcfa 855?
HCFA 855 requires healthcare providers to report their personal and contact information, practice location details, licensing information, services offered, and other relevant information as requested on the form.
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