Please click on a question below to view the answer.
You may make corrections as long as the updated Form C is received by the CBIC by the deadline. If multiple Form C submissions are received for the same CBA/product category combination, the CBIC will use only the last Form C submission to update the Medicare Supplier Directory.
If your changes are not received by the deadline, they will not be included in the Medicare Supplier Directory update for the quarter. Please ensure you submit a complete Form C within next quarter’s reporting window.
You will need to contact your product's manufacturer and request they submit a Coding Verification Review application to have their product listed on the Medicare Pricing, Data Analysis, and Coding (PDAC) Durable Medical Equipment Coding System (DMECS) website. The applications can be found at www.dmepdac.com. If you need additional information, contact the PDAC’s helpline at 877-735-1326.
Data entered into Form C does not save. You may enter all required information at one time and then select “View Completed Form and Print.”
You may also choose to enter product information for each single product category and competitive bidding area (CBA) combination and then select “View Completed Form and Print.” You must print each form since this information is not saved.
It is important that you print, sign and send ALL forms to the CBIC by the deadline. You must submit information for all product category and CBA combinations for which you were awarded a contract.
Please remember that you will not be able to make any changes to your information once you proceed to the “PRINT” page. Please review all information and make any changes before you proceed to print. If you use the browser to go back after you are on the print screen, you will need to re-enter all the information.
You can either mail or fax the form to the CBIC. However, we recommend that you fax it to the CBIC at
If you choose to mail the form, please send it to:
Competitive Bidding Implementation Contractor
2743 Perimeter Pkwy Ste 200-400
Augusta, GA 30909-6499
You can call the CBIC customer service center at 877-577-5331, and we will verify whether the report has been received.
You should expect to see the updated product information posted within 30 days after the Form C submission deadline.