Part A Provider Enrollment Packet
Purpose
The instructions in this section are intended to assist the applicant in completing an accurate CMS-855A in a minimal amount of time.
How is that Possible?
- Step-by-step instructions
- Checklists at your fingertips
Provider Enrollment Packet
- Provider Enrollment Memo
- Provider Enrollment Checklist - applies to all types of submissions
- Notification of Special Documentation - includes individualized checklists specific to the submission type
- Electronic CMS-855A application and instructions
- can be downloaded
and completed in electronic format with edit checks - Medicare Authorization Agreements for Electronic Funds Transfers (EFT)
- Electronic Data Interchange (EDI) - agreement and electronic billing instructions.
- Information and Education Resources for Medicare Providers, Suppliers, and Physicians
- Medicare Enrollment for Institutional Providers Brochure
Contact Information
Contact a provider enrollment associate for help in answering questions related to the Medicare Part A Provider Enrollment process.
Additional Section Links
- Provider Enrollment Introduction
- About Medicare Provider Enrollment
- Provider Enrollment Packet
- Provider Enrollment Frequently Asked Questions
- Provider-Based Status Determinations
- Provider-Based Status Background
- Electronic Funds Transfer (EFT)
- Electronic Data Interchange (EDI)
Page last updated: Sept. 12, 2007