Provider
Enrollment Package
Welcome to Medicare Part B Provider/Supplier Enrollment. The Centers for Medicare & Medicaid Services (CMS) has contracted CIGNA Government Services as a carrier to administer the Medicare Part B program.
At CIGNA Government Services, we are committed to achieving the highest standards of quality and service to our providers, beneficiaries and government entities we serve. CIGNA Government Services is responsible for providing you with information concerning enrollment into the Medicare program, processing Medicare claims, and communicating changes in the Medicare guidelines.
The processing of an eligible Medicare provider/supplier application requires extensive research to ensure all information provided is accurate and all appropriate attachments are supplied. Please note that there is key information that is critical to the enrollment process including but not limited to the completion of the CMS-855 enrollment application(s) (2006 version), Authorization Agreement for Electronic Funds Transfer (CMS-588), submission of the National Provider Identifier (NPI) Notification, requirements for P.O. Box ownership, clinical lab registration requirements, and other important Medicare enrollment information.
As always, we are within reach. If you have any questions concerning the above information please call 866.520.4007, or contact us at:
| Mailing
Address: P.O. Box 25226 Nashville, TN 37202 |
Table Of Contents
New Applications and the Benefits of Participation
- New Applications Required for Enrollment into the Medicare Program
- Benefits of Participation in the Medicare Program
- A
Participation Agreement

- Participating Provider Facts
- Application Checklist
- Provider Applications
Assignment Details
EDI Details
Miscellaneous
NOTE: CIGNA Government Services has taken all reasonable care to ensure that the information provided here was accurate at the time of publication or last modification. CIGNA Government Services takes no responsibility for the consequences of error or for any loss or damage suffered by users of any of the information published on any pages, and such information does not form any basis of a contract with readers or users of it.

