(Billing Agency Information) - Form CMS-855A

10.3.1.1.7 – Section 8 (Billing Agency Information) - Form CMS-855A (Rev. 11839; Issued: 02-09-23; Effective: 04-21-23; Implementation: 06-19-23) (Regarding the Billing Agency Information section of the Form CMS-855A, see section 10.6.8 of this chapter. Except as otherwise stated, the PECOS policies in section 10.3 supersede those in section 10.6.8.) If the chain organization listed in Section 7 of the Form CMS-855A also serves as the provider’s billing agent, the chain must be listed in Section 8 as well. If the telephone number is blank, the contractor may verify it with the provider via telephone, the PCV, e-mail, or fax. If all of the Billing Agency Information section is blank (including the check box), no additional development is necessary.