Last Modified: 11/8/2018 Location: FL, PR, USVI Business: Part B
Adding a provider to a group
Q: What applications do we complete to add a provider to our group?
A: The CMS-855I may be used to add a provider who is initially enrolling or making changes to that provider’s personal information. The CMS-855R is used to reassign the individual’s benefits to the group. This information can also be captured in internet-based Provider Enrollment, Chain and Ownership System (PECOS). For more information on the paper enrollment forms and internet-based PECOS, please review the page Understanding which CMS-855 form to complete.
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