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    FILES FOR DOWNLOAD

1. Billing Flow Chart.jpg

2. Certificates of Medical Necessity forms (CMNs)

3. Advanced Beneficiary Notice.pdf

4. Financial Hardship Exception form in Word

5. Assignment of Benefits form in Word

6. Patient Authorization to Release PHI.doc

7. NJ Medicaid  EDI enrollment.pdf

8. Medicaid Missouri CMN.pdf

9. Medicaid Missouri diabetic supplies pre auth.pdf

10. Medicaid Missouri exception form.pdf

11. Medicaid Missouri Prior Authorization form (PA).pdf

12. Medicare DMERC EFT (Electronic Funds Transfer) enrollment

13. Physician letter Medicare template for mobility evaluation

14. Medicare documentation requirements for mobility products

15. Enteral Nutrition Product Classification list

16. NPI (National Provider Identification Number) application

17. NPI online application link

18. EFT form for Cigna (new Region C Carrier)

19. NPI Database-  https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do

Files with the extension .pdf can be opened with Adobe Acrobat

Download Acrobat Reader from   Adobe's Web site.

If you would like to request a file that is not in this list please e-mail us at billing@medbillbuster.com