Welcome! The Enrollment Center provides comprehensive enrollment information, including links to the CMS forms and on-line application process, reference materials, contact information, as well as tips and tutorials for enrolling in the Medicare Program.
New to Medicare? Be sure to read the Novitas Solutions Welcome Guide.
Revised Centers for Medicare & Medicaid Services (CMS) 855R
Application - Reassignment of Medicare Benefits
Effective June 1, 2015, physicians, non-physician practitioners, providers, and suppliers must use the
revised CMS 855R (Reassignment of Benefits) application. The new version of the CMS 855R
(11/12) can be accessed on either the CMS.gov or Novitas Solutions website. After May 31, 2015,
Novitas will return any CMS 855R applications submitted on the previous version (07/11).
For more information, please refer to the CMS Medicare Learning Network (MLN) article SE1432.