Form 855B Medicare - Be sure you are using the most current version. Complete this application if you are an organization/group that plans to bill medicare and you are: Completing each section and tips to avoid processing delays. Submit the application along with the necessary supporting documents. The following suppliers must complete this application to initiate the enrollment process: Clinics / group practices and other suppliers.
Completing each section and tips to avoid processing delays. Be sure you are using the most current version. Submit the application along with the necessary supporting documents. Complete this application if you are an organization/group that plans to bill medicare and you are: The following suppliers must complete this application to initiate the enrollment process: Clinics / group practices and other suppliers.