Palmetto GBA
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JM Transition Infominisurvey
Learn more about the transition 

Auxilary Aids & Services

For information about the availability of auxiliary aids and services, please visit: http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html

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Jurisdiction 11 Part B
Enrollment



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EDI Enrollment Status Online Request Form07/09/2015
Network Service Agreement07/02/2015
J11 EDI Enrollment Packet06/30/2015
J11 EDI Application Online Request Form03/30/2015
Approved Network Service Vendors03/24/2015
Things to Know about EDI Operations' Enrollment Process02/28/2014
Part B Approved 5010 Errata Vendors07/12/2013
Mailing Addresses for Palmetto GBA J11 EDI Operations03/21/2012
Receipt and Processing of the EDI Application Form, Enrollment Agreement and/or Online Inquiry Request03/21/2012
Online ERA /ERN and GPNet Report Restore Form09/24/2010

 

last updated on 7/01/2015
ver 1.0.51