© 2019 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Printed Date: 9/22/2015
When there is a change in your practice or facility that affects your credentialing information on file with Palmetto GBA, it is important that you submit updated information. Use this checklist to ensure that your changes are submitted on time.
These timeframes apply to:
Submit changes by completing the appropriate sections of the CMS-855 application, using Internet PECOS or a paper application:
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Last Updated: 02/07/2018