Form CMS-855R Medicare Enrollment Application

What Is Form CMS-855R?

This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services on January 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form CMS-855R?
A: Form CMS-855R is the Medicare Enrollment Application for Reassignment of Medicare Benefits.

Q: Who should use Form CMS-855R?
A: Form CMS-855R should be used by eligible providers and suppliers who want to reassign their Medicare benefits to another entity.

Q: What is the purpose of Form CMS-855R?
A: The purpose of Form CMS-855R is to allow providers and suppliers to reassign their Medicare benefits to another entity, such as a group practice or a medical billing company.

Q: What information is required on Form CMS-855R?
A: Form CMS-855R requires information about the provider or supplier, the entity to which the benefits are being reassigned, and the reason for the reassignment.

Q: Are there any fees associated with submitting Form CMS-855R?
A: There are no fees associated with submitting Form CMS-855R.

Q: How long does it take to process Form CMS-855R?
A: The processing time for Form CMS-855R can vary, but it typically takes several weeks to be processed.

Q: What should I do if I have questions about Form CMS-855R?
A: If you have questions about Form CMS-855R, you can contact your Medicare Administrative Contractor (MAC) or the Centers for Medicare & Medicaid Services (CMS).