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主页提供商& 合作伙伴独立诊断测试机构申请信息​​ 

独立诊断测试设施申请信息​​ 

根据《联邦法规》第42篇第410.33节,美国医疗保险和医疗补助服务中心,以及州医疗补助手册,第 3490 至 3490.14 节,独立诊断检测机构 (IDTF) 提供商只有作为“仅限 Medicare 交叉”提供商才能注册 Medi-Cal 计划,从而获得 Medicare B 部分服务的报销。​​ 

独立诊断检测机构必须通过 PAVE(供应商申请和注册验证)提交申请。​​ 

1. Federal Employer Identification Number (FEIN) or Individual Taxpayer Identification Number (ITIN) verification, if a social security number is not used, by submitting a current Internal Revenue Service (IRS) generated document. The only acceptable documents include an IRS-generated Letter 147-C, IRS-generated Form 941 (Employer’s Quarterly Federal Tax Return), IRS-generated Form 8109-C (Deposit Coupon), or IRS-generated Form SS-4 (only the official Confirmation Notification of FEIN/ITIN assignment). Note: The legal name of the applicant or provider on the application must exactly match the name on the IRS-generated document; and the applicant/provider must be an owner or officer of the entity listed on the IRS document. For further information, please visit the IRS or call them at (800) 829-4933.​​ 

2. Copy of approval letter as an Independent Diagnostic Testing Facility (IDTF) provider from the Centers of Medicare and Medicaid Services (CMS).​​ 

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