Claims and Remittance Agreement Form Change for Multiple Novitas CPIDs
CollaborateMD Blog
The following payers have changed their agreement form:

• CPID 1465 New Jersey Medicare - Professional
• CPID 1522 Washington DC Medicare - Institutional
• CPID 2456 Delaware Medicare - Professional
• CPID 2457 Pennsylvania Medicare - Professional
• CPID 2459 Washington DC Medicare - Professional
• CPID 2461 Virginia Medicare - Professional
• CPID 2464 Maryland Medicare - Professional
• CPID 3677 J12 Mutual of Omaha DC, DE, MD, NJ, PA - Institutional
• CPID 5503 New Jersey Medicare - Institutional
• CPID 5554 Maryland Medicare - Institutional
• CPID 5598 Pennsylvania Medicare - Institutional
• CPID 5820 Washington DC and Delaware Medicare - Professional
• CPID 5912 Delaware Medicare - Institutional
• CPID 7402 Maryland 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 athttp://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.