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CMS Manual SystemDepartment of Health & Human Services (HHS)Pub 10008 Medicare Program IntegrityCenters for Medicare & Medicaid Services (CMS)Transmittal 12356Date: November 9, 2023Change Request

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Who needs mm13331 - provider enrollment?

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Healthcare providers who wish to enroll in a specific program or network

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Healthcare organizations that require their providers to undergo enrollment

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New providers joining an established healthcare network or organization

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Providers seeking reimbursement for their services from insurance companies or government healthcare programs

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What is mm13331 - provider enrollment?

MM13331 - Provider Enrollment is a form used by healthcare providers to enroll in a government healthcare program, allowing them to bill for services provided to eligible patients.

Who is required to file mm13331 - provider enrollment?

Healthcare providers who wish to participate in and receive reimbursement from government healthcare programs such as Medicaid or Medicare are required to file MM13331 - Provider Enrollment.

How to fill out mm13331 - provider enrollment?

To fill out MM13331 - Provider Enrollment, providers must provide their personal and professional information, including their National Provider Identifier (NPI), types of services offered, and documentation to verify their qualifications and practice.

What is the purpose of mm13331 - provider enrollment?

The purpose of MM13331 - Provider Enrollment is to establish a formal process for healthcare providers to be recognized and accredited by government healthcare programs, ensuring that they meet specific standards and can receive payment for their services.

What information must be reported on mm13331 - provider enrollment?

Information required on MM13331 - Provider Enrollment includes provider identification details, practice address, service types, insurance information, tax identification numbers, and supporting documentation for qualifications.

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