Recertification for Medicare DMERC: This is an annual recertification. Click here to complete the form online
- Your Trading Partner ID is in the email that CEDI sent to you.
- Type of Trading Partner: Direct billing
- Your Trading Partner name is your supplier name as it appears on your 277 acceptance reports
- You’ll list your NPI and your ptan/supplier number. The NPI is also listed on your 277 reports.
- Your supplier number is your ptan for Medicare DMERC.
- Primary Contact should be the provider
- Office staff can be additional contacts
- The Signature should be the provider’s
- CEDI will process the form and send you an email in a few days to let you know if it was accepted or not. If it was not accepted, you will need to re-submit it with the correct information.