Bond Description
Federal requirement for suppliers of certain medical equipment under the Medicare Program. The bond limit is $50,000 and filed with the National Supplier Clearinghouse, Columbia, SC.
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How to Apply for Bond
Step 1
Print, complete, sign the Medicare Suppliers (DMEPOS) Bond Application and then email or fax (713-622-1494) the application to us. Be prepared to forward us financial information and evidence of the lost security.
Step 2
Upon receiving the application and supporting information we will select the bonding company that fits your situation and forward the information to the surety underwriter. Decisions generally take less than 24 hours depending on underwriter workload and time of day your information is received.
Step 3
If approved will need the original signed application, disclosure statement, and payment of premiums and fees before an executed bond can be released.
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Open and Complete Form Here
Click on the icon below to access the Medicare Suppliers/DMEPOS form:
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