Get the free Provider CCN: 14-0130 - hfs illinois

Get Form

Show details

KPMG LLP CompuMax 255210 NORTHWESTERN LAKE FOREST HOSPITAL Provider CCN: 140130In Lieu of Form CMS255210Period : From: 09/01/2015 To: 08/31/2016Run Date: 01/27/2017 Run Time: 13:33 Version: 2016.05

We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign provider ccn 14-0130

Edit your provider ccn 14-0130 form online

Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature

Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly

Email, fax, or share your provider ccn 14-0130 form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit provider ccn 14-0130 online

Ease of Setup

pdfFiller User Ratings on G2

Ease of Use

pdfFiller User Ratings on G2

Here are the steps you need to follow to get started with our professional PDF editor:

1

Set up an account. If you are a new user, click Start Free Trial and establish a profile.

2

Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.

3

Edit provider ccn 14-0130. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.

4

Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.

Dealing with documents is simple using pdfFiller. Try it right now!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.

Learn more about security & compliance

How to fill out provider ccn 14-0130

01

Gather all necessary information and documentation required to fill out the provider ccn 14-0130.

02

Start by entering the provider's information, including name, address, and contact details.

03

Fill out all required fields accurately and completely, ensuring that all information is up to date and correct.

04

Double-check the form for any errors or missing information before submitting it.

05

Submit the completed provider ccn 14-0130 form to the appropriate party or organization.

Who needs provider ccn 14-0130?

01

Healthcare providers who are seeking to enroll or update their information with a specific organization or entity may need to fill out provider ccn 14-0130.

02

It is important for healthcare providers to check with the relevant authorities or agencies to determine if they require provider ccn 14-0130 for enrollment or other purposes.

Fill form : Try Risk Free

Rate the form

4.2

Satisfied

29 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

How can I manage my provider ccn 14-0130 directly from Gmail?

You can use pdfFiller’s add-on for Gmail in order to modify, fill out, and eSign your provider ccn 14-0130 along with other documents right in your inbox. Find pdfFiller for Gmail in Google Workspace Marketplace. Use time you spend on handling your documents and eSignatures for more important things.

How do I make edits in provider ccn 14-0130 without leaving Chrome?

Download and install the pdfFiller Google Chrome Extension to your browser to edit, fill out, and eSign your provider ccn 14-0130, which you can open in the editor with a single click from a Google search page. Fillable documents may be executed from any internet-connected device without leaving Chrome.

How can I fill out provider ccn 14-0130 on an iOS device?

In order to fill out documents on your iOS device, install the pdfFiller app. Create an account or log in to an existing one if you have a subscription to the service. Once the registration process is complete, upload your provider ccn 14-0130. You now can take advantage of pdfFiller's advanced functionalities: adding fillable fields and eSigning documents, and accessing them from any device, wherever you are.

What is provider ccn 14-0130?

Provider CCN 14-0130 is a unique identification number assigned to healthcare providers and facilities by the Centers for Medicare & Medicaid Services (CMS) for the purpose of billing and eligibility verification.

Who is required to file provider ccn 14-0130?

Healthcare providers and facilities that participate in Medicare and Medicaid programs are required to file provider CCN 14-0130.

How to fill out provider ccn 14-0130?

To fill out provider CCN 14-0130, providers should follow the specific instructions provided by CMS, ensuring all required information, such as provider details and service information, is accurately entered.

What is the purpose of provider ccn 14-0130?

The purpose of provider CCN 14-0130 is to facilitate the processing of claims, ensure proper billing, and maintain accurate records of healthcare providers participating in Medicare and Medicaid programs.

What information must be reported on provider ccn 14-0130?

Information required on provider CCN 14-0130 typically includes provider identification, address, service details, and types of services provided, as specified by CMS standards.

Fill out your provider ccn 14-0130 online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now