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Provider Enrollment Contact Information

All information related to the CMS 855A application process, the CMS 588 EFT process, or any other correspondence related to the Provider Enrollment department should be sent to the following address:

J15 — HHH Provider Enrollment
CGS Administrators, LLC
PO Box 20016
Nashville, TN 37202

Please note that all documentation sent to this address will be imaged. Please ensure that the provider name, number, and other relevant information are clearly identified.

Provider Enrollment application fees must be paid through the website https://pecos.cms.hhs.gov/pecos/feePaymentWelcome.doExternal Website. Do not submit checks for payment of application fees to CGS. Checks submitted with applications will be returned to the provider and the application will not be processed.

If you have any questions or concerns related to the Provider Enrollment department, please call the appropriate number below based upon your provider type.

Home Health and Hospice Providers: (877) 299-4500

Updated: 03.18.13

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