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 CMS-1500 Interactive Form Enrollment Gateway E/M Interactive Worksheet Enrollment Status Enrollment Gateway ERA Reload Requests Enrollment Status ESRD Calculator ERA Reload Requests Fee Lookup ESRD Calculator HETS EDI Enrollment Fee Lookup HOPD Calculator HETS EDI Enrollment Incident-to Tool HOPD Calculator IVR Touch-Tone Converter Incident-to Tool LCD Interactive Index IVR Touch-Tone Converter Modifier Lookup LCD Interactive Index NCCI PTP Lookup Modifier Lookup Part A Credit Balance Status MSP Calculator Part A Reason Code Lookup NCCI PTP Lookup SPOT Portal Reopening Gateway TIBCO Gateway Password Change SPOT Portal TIBCO Gateway Password Check TIBCO Gateway Password Change 5010 Reject Code Lookup 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 Enrollment: CMS-855A EDI Submitter ID Update FP167 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 Prior Auth: OPD Prior Auth: OPD Expedited Prior Auth: RSNAT 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 CMS.gov forms page
