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Univec Conglomerate Inc UNVC
(Total Views: 533)
Posted On: 06/25/2020 1:41:26 PM
Post# of 87021
Posted By: Chiro2019
Just so everyone is aware Doc submitted 4 forms this time last time it was only 3 forms...

1. CMS-855B: is to be used by Clinics/group practices and certain other suppliers.

2. CMS-855R: Reassignment of Medicare Benefits. This form is used by individual physicians/practitioners who are reassigning Medicare benefits to an enrolled group, organization, or individual or who are making a change to a previously established reassignment.

3. CMS-20134: Medicare Enrollment Application for Medicare Diabetes Prevention Program (MDPP) Suppliers.

4. EFT: Electronic Funds Transfer (EFT) Authorization Agreement.

You can track status of application on this link,
https://providerstatustool.novitas-solutions.com/













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