Enrollment - Aids - Providers - Upstate Medicare Division

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Provider Enrollment

< Back to the Enrollment page

Enrollment Aids
Posted September 21, 2006

Reviewing the forms and information listed below may be beneficial in completing your enrollment application.

Authorized Official and Delegated Official Signature - IMPORTANT - Revised 9-21-06
Participating Agreement - Agreement that will allow you to accept what Medicare allows.
Fraud and Abuse - Information on fraud and abuse.
EDI Services
Additional Non-Physician Enrollment Information - Revised 5-23-06
CMS 855 Application Guidelines - Revised 7-20-07
Common Errors on the CMS-855 Application - Revised 11-1-07
Contractor Returning the CMS-855 Application - Revised 11-1-07
Developing for Information on a CMS-855 Application
Electronic Funds Transfer - Mandatory

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This page updated
November 1, 2007