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  1. Medicare enrollment instructions. Thank you for choosing a Medicare plan from Priority Health. Please follow these helpful tips to avoid delays in processing your enrollment. To enroll online visit prioritymedicare.com, the Provider/Pharmacy Directory and Formulary are also available here.

  2. • The Internet-based Provider Enrollment, Chain and Ownership System (PECOS), or • The paper CMS-855R application. Be sure you are using the most current version.

  3. Learn how to initially enroll, revalidate, and submit changes of information for individual providers. Cover all aspects of completing the CMS-855I & 855R with a walkthrough of both the paper and PECOS versions of the form. Learn how to avoid common mistakes when submitting the 855-I&R. •.

  4. Medicare Enrollment Application: Clinics/Group Practices and Other Suppliers (CMS-855B): Group practices and other organizational suppliers, except DMEPOS suppliers, use this form to begin the Medicare enrollment or revalidation process or to change enrollment information.

  5. Medicare has merged the CMS-855R into the CMS-855I paper enrollment application. Physicians and non-physician practitioners can reassign your right to bill the Medicare program and receive Medicare payments for some or all the services you render to Medicare

  6. 1 Σεπ 2017 · Guidance for how to initially enroll, revalidate, and submit changes of information for individual providers, Cover all aspects of completing the CMS-855I & 855R with a walkthrough of both the paper and PECOS versions of the form and learn how to avoid common mistakes when submitting the 855-I&R.

  7. The paper CMS-855R application. Be sure you are using the most current version. For additional information regarding the Medicare enrollment and reassignment process, including Internet-based PECOS and to get the current version of the CMS-855R, go to http://www.cms.gov/MedicareProviderSupEnroll.