Αποτελέσματα Αναζήτησης
These forms and your required documents make up your enrollment application. Download them, fill out the PDFs electronically, then print them and fax them to us. It can take us up to 90 days to review your enrollment application.
The provider self-service application is available on the BCBSM provider portal. To access the portal, go to bcbsm.com and select the I am a Provider tab. Log in using your BCBSM portal ID.
Join our Network. To submit a new enrollment or make changes to your existing information, select your classification type below. Hospitals and Facilities.
Institutional providers can apply for enrollment in the Medicare program or make a change in their enrollment information using either: • The internet-based Provider Enrollment, Chain and Ownership System (PECOS), or • The paper CMS-855A enrollment application. Be sure you are using the most current version of the CMS-855A enrollment ...
1 Οκτ 2024 · • CMS-855A Paper Application • Completing Each Section and Tips to Avoid Processing Delays • Supporting Documentation • Process After Submission • Check Application Status • Resources
What is the 855A? The Medicare Enrollment Application for Institutional Providers. This form is also used to submit changes to your enrollment data. 855A Initial Enrollment Process. Provider Actions: Contact state agency for certification forms. Complete CMS-855A and submit it to the MAC serving your state.
The latest form for Medicare Enrollment Application for Institutional Providers (CMS-855A) expires 2021-12-31 and can be found here.
