Enrollment to Medicare

The Centers for Medicare & Medicaid Services (CMS) Standard Electronic Data Interchange (EDI) Enrollment Form must be completed prior to submitting electronic media claims (EMC) or other EDI transactions to Medicare.

The form with details where it should be mailed to : http://www.cms.hhs.gov/cmsforms/downloads/cms855s.pdf

The agreement must be executed by each provider of health care services, physician, or supplier that intends to submit EMC or use EDI, either directly with Medicare or through a billing service or clearinghouse.

Each new EMC biller must sign the form and submit it to their local Medicare carrier, durable medical equipment regional carrier (DMERC), or fiscal intermediary.

An organization comprising of multiple components that have been assigned Medicare provider numbers, supplier numbers, or UPINs may elect to execute a single EDI Enrollment Form on behalf of the organizational components to which these numbers have been assigned. The organization as a whole is held responsible for the performance of its components.

Once the form is signed each biller gets a NPI (National Provider Identifier) that will be used for electronic transactions with CMS.