Medicare Form 855B - Web this applies to our webinars, teleconferences, live events and any other type of national government services educational events. Clinics / group practices and other suppliers. The following suppliers must complete this application to initiate the enrollment process: The chart below is designed to provide additional instructions on completing the enrollment application. 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: Generally, this application is completed by the organization/group, signed by the delegated/authorized official of the organization/group and
The chart below is designed to provide additional instructions on completing the enrollment application. Complete this application if you are an organization/group that plans to bill medicare and you are: Generally, this application is completed by the organization/group, signed by the delegated/authorized official of the organization/group and Clinics / group practices and other suppliers. Web this applies to our webinars, teleconferences, live events and any other type of national government services educational events. The following suppliers must complete this application to initiate the enrollment process: Submit the application along with the necessary supporting documents.