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This area focuses on identification of aberrancies or patterns of inappropriate billing, educating providers on Medicare coverage and coding requirements, and performing medical review of claims and supporting documentation.
View contact information for the EDI area.
View contact information for the Provider Enrollment area.
View contact information for the Appeals area.
View contact information for the Overpayments area.
View contact information for the Outreach and Education area.
View contact information for the Medical Affairs area.
View contact information for the Medical Review area.
The enrollment application assistance tool removes the guesswork for providers trying to figure out which enrollment form to use, whether they are submitting an initial enrollment, a change of information, revalidation or even terminatin