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Posting Date: 02/02/2021
Requests for Additional Information
Requests for Additional Information While processing the application(s), National Government Services may determine additional information is needed. All requested information should be submitted as soon as possible, but no later than 30 days [...]
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Posting Date: 08/21/2018
Site Visits
Site Visits Site visits may be required for certain providers and will be unannounced; the contractor representatives must disclose to the provider appropriate identifying credentials and explain the purpose of the visit. CMS has implemented [...]
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Posting Date: 02/02/2021
Requests for Additional Information
Requests for Additional Information While processing the application(s) National Government Services may determine additional information is needed. All requested information should be submitted as soon as possible, but no later than 30 days [...]
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Posting Date: 08/21/2018
PECOS Self-Service Application Status
PECOS Self-Service Application Status You may run simple search queries to retrieve and view the status of your PECOS application. Individual View the enrollment application status of an individual provider in an organization or private [...]
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Posting Date: 11/05/2020
Check Provider Enrollment Application Status
Check Provider Enrollment Application Status You may run simple search queries to retrieve and view the status of your CMS-855 application via two options. Case number/web tracker id NPI and TIN combination Related Content Check [...]
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Posting Date: 11/19/2021
Interactive Voice Response System
Interactive Voice Response System You may check the status of your provider enrollment application (PECOS or paper) submission via the IVR by: Case number/web tracker id or NPI and TIN combination Related Content Interactive [...]
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Posting Date: 06/20/2024
Dental Claim Cross Over
Dental Claim Cross Over Medicare contractors coordinate with the MSP Contractor, GHI, to automatically cross over claim payment information for their policyholders as a courtesy. An eligibility file furnished by the supplemental insurer is [...]
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Posting Date: 11/03/2021
Three Ways to Protect Your Medicare Enrollment Information
Three Ways to Protect Your Medicare Enrollment Information Protect your enrollment information from Medicare fraud with these three steps: Keep your Medicare Provider Enrollment, Chain, and Ownership System (PECOS) user ID and password [...]
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Posting Date: 11/03/2021
Help Prevent Bank Account Fraud
Help Prevent Bank Account Fraud The provider should be aware of the following to help prevent bank account fraud if no authorized individual from your entity submits a change to enrollment. Contact your MAC immediately if: remittances [...]
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Posting Date: 07/18/2024
“Payer Only” Codes Submitted on Part A Medicare Claims
“Payer Only” Codes Submitted on Part A Medicare Claims This article is to inform Part A providers of an editing change impacting claims submitted with “payer only” codes. As of 7/3/2024, new edits cause claims to RTP when a “payer only” [...]
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