US · guidance
CMS Pub. 100-08, ch. 10, § 10.3.1.1.7
Section 8 (Billing Agency Information) - Form CMS-855A
(Regarding the Billing Agency Information section of the Form CMS-855A, see section 10.6.8
of this chapter. Except as otherwise stated, the PECOS policies in section 10.3 supersede those
in section 10.6.8.)
If the chain organization listed in Section 7 of the Form CMS-855A also serves as the provider’s
billing agent, the chain must be listed in Section 8 as well.
If the telephone number is blank, the contractor may verify it with the provider via telephone, the
PCV, e-mail, or fax.
If all of the Billing Agency Information section is blank (including the check box), no additional
development is necessary.
History
(Rev. 11839; Issued: 02-09-23; Effective: 04-21-23; Implementation: 06-19-23)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
057133f74f73dd8e141ac980b440c866ff13383fa90cd1c6eddcdaf19bc0a8c0
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