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Apply to use the CERT Claim Identifier Tool

Please provide the requested information below, CGS will verify your information via the Medicare Claims Processing System within 10 business days of your submission. A password will be emailed to you once all information has been validated.

First name: *
Last name: *
Address 1: *
Address 2:
(Suite, Office Number, etc.)
City: *
Zip: *
Phone Number: . .
Fax Number: . .
NPI: *
State: *
Email: *
Practice/Organization:

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