Revised CMS-855R Required May 1, 2020

A new version of the 855R will be posted on the CMS forms website in February.

Noridian will be accepting either the current version or the revised version of the 855R form through April 30, 2020. Starting May 1, 2020 Noridian, will only accept the new revised version and will be returning all older versions.

Below are some updates made to the 855R:

  • Change of Reassignment Information is a new submission reason in section 1
  • Information for reassigning to a sole proprietor is now included
  • Secondary practice location information is now captured
  • Change, add or remove a contact person

Last Updated Feb 20, 2020