Tools & forms Main navigation Tools & Forms Appeals Billing / Coding Claims Compliance / Review EDI / SPOT Enrollment Overpayments All tools ADR Timeliness Appeals Status Appeal Timeliness Application Assistance CERT CID Lookup E/M Interactive Worksheet Claim denial / rejection Enrollment Gateway CMS-1500 Interactive Form Enrollment Status E/M Interactive Worksheet ERA Reload Requests Enrollment Gateway ESRD Calculator Enrollment Status Fee Lookup ERA Reload Requests HETS EDI Enrollment ESRD Calculator HOPD / ASC Calculator Fee Lookup Incident-to Tool Global Surgery Calculator IVR Touch-Tone Converter HETS EDI Enrollment LCD Interactive Index HOPD / ASC Calculator Modifier Lookup Incident-to Tool NCCI PTP Lookup IVR Touch-Tone Converter Part A Credit Balance Status LCD Interactive Index Part A Reason Code Lookup Modifier Lookup Prior Auth Code Lookup MSP Calculator SPOT Portal NCCI PTP Lookup TIBCO Gateway Password Change Prior Auth Code Lookup TIBCO Gateway Password Check Reopening Gateway 5010 Reject Code Lookup SPOT Portal TIBCO Gateway Password Change TIBCO Gateway Password Check 5010 Reject Code Lookup Related help guides Appeals status help guide Enrollment gateway user guide Enrollment / revalidation status tool help guide E/M interactive worksheet help guide Fee lookup tool help guide LCD interactive index and advanced search guide Appeals status help guide Enrollment gateway user guide Enrollment / revalidation status tool help guide E/M interactive worksheet help guide Fee lookup tool help guide LCD interactive index and advanced search guide Reopening gateway help guide All forms Appeal: Part A Redetermination Appeal: Part B Redetermination Appeal: Level 2 Reconsideration Appeal: Level 3 ALJ Appeal: Level 4 DAB Claims: CMS-1450 (UB-04) Claims: CMS-1500 (02/12) Claims: Part A Hardcopy Claims: PWK Coversheet (B) Claims: PWK Coversheet (A) CMS-460 Participation CMS-460 Participation CMS-588 EFT Authorization CMS-588 EFT Authorization CMS-1696 Representation CMS-838 Credit Balance EDI Enrollment: 3rd Party 8291 CMS-1696 Representation EDI/SPOT Enrollment: 3rd Party 8291P EDI Enrollment: 3rd Party 8291 EDI Enrollment: 8292 EDI/SPOT Enrollment: 3rd Party 8291P EDI/SPOT Enrollment: 8292P EDI Enrollment: 8292 EDI HTTPS CAQH 9358N (Provider) EDI/SPOT Enrollment: 8292P EDI HTTPS CAQH 9359N (3rd Party) EDI HTTPS CAQH 9358N (Provider) EDI Enrollment: Affiliates / multiple EDI HTTPS CAQH 9359N (3rd Party) EDI Submitter ID Update FP167 EDI Enrollment: Affiliates / multiple EDI/SPOT Submitter ID Update FP167P EDI Submitter ID Update FP167 Enrollment: Clinical Lab Questionnaire EDI/SPOT Submitter ID Update FP167P Enrollment: CMS-855A Enrollment: Clinical Lab Questionnaire Enrollment: CMS-855B Enrollment: CMS-855A Enrollment: CMS-855I Overpayment: Extended Repayment Group Enrollment: CMS-855O Overpayment: Extended Repayment Sole Enrollment: CMS-20134 Overpayment: Immediate Offset Overpayment: Extended Repayment Group Overpayment: Voluntary Refund Overpayment: Extended Repayment Sole Prior Auth: OPD Overpayment: Immediate Offset Prior Auth: OPD Expedited Overpayment: Voluntary Refund SPOT migration list Prior Auth: ASC standard Prior Auth: ASC expedited Prior Auth: OPD standard Prior Auth: OPD Expedited Prior Auth: RSNAT standard Roster billing: Pneumococcal pneumonia Roster billing: Influenza Roster billing: COVID Roster billing: Hepatitis B SPOT migration list Additional information Authorization to share protected health information CMS' beneficiary notices initiative (BNI) Request for assistance to resolve overlapping claims How to request a 1099 form Form 480.6A -- "Informativa de Ingreso" CMS.gov forms page
