![]() ![]() O The access process will then continue, and you will be directed to complete the MDCN Connectivity Form. O If you check the appropriate boxes of the agreement and supply the information requested, a copy of the completed form will be electronically submitted to the CMS 270/271 Medicare Eligibility Integration Contractor (MEIC) for security authentication ![]() If you do not consent to the terms of the agreement, the access process will be terminated. Complete all the information on the form electronically and click on the appropriate assurances. O This agreement outlines security and privacy procedures for the Medicare beneficiary database.
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