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The clearinghouse has received notification from the Common Electronic Data Interchange (CEDI) and National Government Services (NGS) Enrollment Departments that they experienced fax issues on May 29-30. These issues may have resulted in agreement forms not being received.

Refax CEDI Forms
CEDI has requested that if you faxed forms to them on May 29- 30 to refax them to 315-442-4299. This would apply to faxes sent to the following CEDI CPIDs:

• CPID 7475 DME - Jurisdiction A
• CPID 7476 DME - Jurisdiction B
• CPID 7477 DME - Jurisdiction C
• CPID 7878 DME - Jurisdiction D

You can verify that your fax was received by CEDI by going to this link: http://www.ngscedi.com/StatusTool/CEDIStatusTool.htm

Refax NGS Forms
NGS has requested that if you faxed forms to them on May 29-30 to refax them to 502-889-4701. This would apply to faxes sent to the following NGS CPIDs:
• CPID 1452 Connecticut Medicare
• CPID 1463 New York Medicare (Upstate)
• CPID 4442 New York Medicare (Downstate)
• CPID 7401 New York Medicare GHI (Queens)
• CPID 1505 Federally Qualified Healthcare Clinics
• CPID 1947 RHHI Home Health Region V- Service Area 7
• CPID 3519 New York Empire Medicare
• CPID 3533 Connecticut Medicare
• CPID 5506 Illinois Medicare
• CPID 5512 Wisconsin Medicare
• CPID 5530 W Virginia Medicare
• CPID 5536 Virginia Medicare

You can verify that your fax was received by NGS by going to this link:
http://www.ngsmedicare.com/wps/portal/ngsmedicare/edi.

Action Required: Refax any agreement forms sent to CEDI and NGS on May 29-30, 2013 per the instructions above.

If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

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