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Telephone Number. Form CMS-838 (10/03). Form CMS-838 (10/03). INSTRUCTIONS FOR COMPLETING THIS PAGE ARE IN MEDICARE CREDIT BALANCE .

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The Centers for Medicare & Medicaid Services (CMS) is a Federal agency within the U.S. Department of Health and Human Services. Many CMS program related forms are available in Portable Document Format (pdf).

A Credit Balance Report summarizes the Credit Balance for each Client with a detailed breakdown showing the amount issued, applied, and remaining.

The CMS-838 is specifically used to monitor identification and recovery of “credit balances” owed to Medicare. A credit balance is an improper or excess payment made to a provider as the result of patient billing or claims processing errors.

Credit Balance Report (Form CMS-838) myCGS, secure Web Portal (preferred method):Refer to the myCGS User Guide, "Chapter 7: Forms Tab " for details. myCGS provides instant confirmation of receipt.Regular and Certified Mail:CGS Attn: HHH Credit Balance Reporting P.O. Box 20014 Nashville, TN 372022 more rows

. If your facility has more than one provider number, a separate report should be submitted for each provider number.

Please be sure to include your Medicare credit balance report certification page, your completed 838, and any additional documentation along with your check. 8. Where do we send reports using other payment types? You can fax reports using other payment types to 410-891-5230 or submit through Novitasphere (JH)(JL).

2. By fax: Providers may submit the completed 838 Certification Page, Detail Page and UB04s by fax to 803-419-3277.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232