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Jurisdiction 1 Part A
CMS informed us that we did not need to submit one 855 form per NPI/Legacy combination. They said we could send one form with an attachment that contained all of the individual numbers. Is this correct?

Answer:
One CMS 855 Form can be submitted. However, instead of an attachment, please include all NPI/Legacy combination information in Section 4. You may copy Section 4 if you need to include additional information in that section.

 

last updated on 04/17/2013
ver 1.0.37