Provider Enrollment <6>

When Provider Enrollment is selected, the IVR will request and collect the following information:

• Case number (If case number is unavailable, you must provide the NPI, complete TIN (group), or the Social Security Number (SSN) (individual)

Once the authentication elements have been verified, the IVR will supply the following:

• Case number
• The number of applications found
• The application type
• The receipt date
• The status of the application
  • PECOS
  • Verification
  • Development
  • Screening
  • Indexing
  • Prescreen
  • Pending
  • Closed
    • Voluntary Withdrawal
    • Duplicate
    • Approved or Approved Late
    • Denied or Denied Late
    • Returned
    • Rejected
    • Deleted

Provider Enrollment Navigation