Claim and Remittance Agreement Form Change for Multiple CPIDs
CollaborateMD Blog
The following payers have changed their Claim and Remittance agreement forms:

•CPID 1434 Wisconsin Medicare -Professional
•CPID 1435 Minnesota Medicare - Professional
•CPID 1437 Illinois Medicare - Professional

Providers already approved to submit and receive transactions through the clearinghouse do not need to complete a new agreement form.

To access the new agreement form, please visit our website at, click Payer, and Payer Agreements Library.

Action Required: None for existing providers. New providers should begin using the new agreement form in the Payer Agreements Library immediately.

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