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Get Jurisdiction 11 EDI Enrollment Packet

Sy and immediate access to claims processing and beneficiary eligibility information for Medicare Part A providers. Each user must have an individual DDE or User ID. You must include an individual’s name with each user ID requested. For security reason, you should not share your DDE User ID. One ID can access multiple provider numbers. There are two (2) pages to the application form. The first page is required and the second page should be used only if additional DDE ID action requests need to.

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