CEDI Supplier/Provider Authorized Signatures

Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

In order to verify CEDI forms are submitted by the supplier, the CEDI Customer Support Unit will validate all signatures on the EDI Enrollment Forms and the Supplier Authorization Form. The person signing these documents must be listed with the National Supplier Clearinghouse (NSC) as an authorized signer on behalf of the supplier as provided on the CMS 855 Enrollment Application Form submitted to the NSC.

EDI Enrollment Forms and/or Supplier Authorization Forms received by CEDI with a signature other than an authorized representative will be rejected and returned to the supplier with a letter indicating that the representative is not authorized to sign the documents. Rejected enrollment forms will need to be completed again and resubmitted on-line at www.ngscedi.com. Once the new forms have been submitted on-line, please print the form and have the authorized party for the supplier sign and date the form. Forms will need to be faxed to 315-442-4299.

If you have any questions about who is authorized to sign a document on behalf of a supplier, please contact the National Supplier Clearinghouse at 1-866-238-9652. If you wish to update the authorized party's name, you will need to complete and submit the CMS 855 Enrollment Application Form to the NSC.

If you have any questions about this listserv please contact the CEDI Help Desk at 1-866-311-9184

Post Date 10/07/09