Crosswalk

Changes to the Medicare Data Electronic Interchange (EDI) Registration
and Electronic Data Interchange (EDI) Registration Form, OMB Control Number 0938-0983

The following changes have been made to the EDI enrollment portion:
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In section A, subsection 1, contractors have been defined.
In section A, subsections 2 and 3 have had security language added.

The following changes have been made to the EDI registration portion:
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On the back of the form under version, the version was changed to HIPAA 5010A1.