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

• CPID 1438 Iowa Medicare - Professional
• CPID 1441 Missouri Medicare - Professional
• CPID 1445 Indiana Medicare - Professional
• CPID 1451 Nebraska Medicare - Professional
• CPID 1461 Michigan Medicare - Professional
• CPID 1519 Nebraska Medicare - Institutional
• CPID 2463 Kansas Medicare - Professional
• CPID 2535 J5 National Part A - Institutional
• CPID 2537 Iowa Medicare - Institutional
• CPID 3500 Indiana Medicare - Institutional
• CPID 3515 Michigan Medicare Institutional
• CPID 4451 Missouri Northwest Medicare - Kansas City, MO - Professional
• CPID 5518 Kansas Medicare - Institutional
• CPID 5572 Missouri Medicare - Institutional

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 http://collaborationcompass.com, 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.