How to Pay the Application Fee
The application fee must be paid electronically.
IMPORTANT: If submitting a hardship request, it must be submitted with the enrollment application. It cannot be accepted separately.
To pay the application fee using PECOS:
- Under "Helpful Links"
- Click on "Pay Application Fee"
Pay by electronic check, credit card or by debit from your checking or savings account.
Upon completion, save your payment confirmation receipt as proof of payment.
Related Content
- Federal Register Notice ‒ information about how the fee was calculated
Reviewed 7/29/2024
Helpful Resources
Check Provider Enrollment Application Status
Log Into PECOS
Pay Application Fee
J6 Mailing Address:
National Government Services, Inc.
P.O. Box 6475
Indianapolis, IN 46206-6475
Interactive Voice Response:
877-908-9499
Contact Enrollment:
877-908-8476
Hours Available:
Monday–Friday
8:00 a.m.–4:00 p.m. CT
Form(s) you'll need:
Helpful Resources
Check Provider Enrollment Application Status
Log Into PECOS
Pay Application Fee
JK Mailing Address:
National Government Services, Inc.
P.O. Box 7149
Indianapolis, IN 46207-7149
Interactive Voice Response:
877-869-6504
Contact Enrollment:
888-379-3807
Hours Available:
Monday–Friday
8:00 a.m.–4:00 p.m. ET
Form(s) you'll need: