The online Form C for the fourth quarter is now available on the Competitive Bidding Implementation Contractor (CBIC) website, www.dmecompetitivebid.com. Select Round 2 & National Mail-Order from the menu on the left side of the homepage. Then select Form C under the Top Links section. Form C is used to update the Supplier Directory on the Medicare website at www.Medicare.gov with the products you plan to provide during the NEXT quarter.
As stated in your durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding contract, the form is due no later than ten calendar days after each of the following dates: March 31; June 30; September 30; and December 31 throughout the entire contract period. Therefore, the CBIC must receive your completed Form C no later than Thursday, October 10, 2013. You must complete Form C for EVERY competitive bidding area (CBA)/product category combination included in your contract.
Failure to submit a timely Form C for all CBA/product category combinations in your contract may be considered a breach of contract and result in termination.
For more information about the quarterly report requirement, please call the CBIC customer service center at 877-577-5331 between 9 a.m. and 5:30 p.m. Eastern Time, Monday through Friday.