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Submitting Revalidation via CMS855B Paper Application for Part B Providers 5/9/20231966_0323DisclaimerNational Government Services, Inc. has produced this material as an informational reference for
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How to fill out submitting revalidation via cms-855b

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How to fill out submitting revalidation via cms-855b

01
Obtain the CMS-855B form from the CMS website or your Medicare Administrative Contractor (MAC)
02
Fill out all required fields on the form, including provider information, billing information, and details about the services provided
03
Ensure all information is accurate and up-to-date before submitting the form
04
Submit the completed form to your MAC either electronically or by mail
05
Wait for confirmation of receipt and follow up with any additional documentation or information requested

Who needs submitting revalidation via cms-855b?

01
Healthcare providers and suppliers who are enrolled in the Medicare program and need to revalidate their enrollment information
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Submitting revalidation via cms-855b is the process of revalidating a provider's Medicare enrollment information.
Providers participating in the Medicare program are required to file submitting revalidation via cms-855b.
Providers can fill out submitting revalidation via cms-855b by completing the form with accurate and up-to-date information.
The purpose of submitting revalidation via cms-855b is to ensure that Medicare provider information is current and accurate.
Providers must report their current practice location, ownership information, and any changes to their enrollment information on submitting revalidation via cms-855b.
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