Determine/Pay Application Fee

How to Obtain a Refund

A refund will only be granted in the following instances:

  • The application fee was not required for the application submitted
  • A hardship request was subsequently approved and a fee was paid
  • An application was rejected prior to the screening process
  • An application was denied due to a moratorium
  • An application fee was paid and not part of a submission

In order to receive a refund in any of the instances outlined, the provider must request a refund no later than 150 days from the date it submitted its application. In its request, the provider shall include documentation acceptable to process the refund request. For credit card refunds, the provider shall include the Pay.gov receipt or the Pay.gov tracking ID number; if the fee was paid via ACH debit, an Authorization and Payment Information Form for EFT for Application Fee Refunds form.

Related Content

Reviewed 6/13/2024

Helpful Resources

Medicare Provider Enrollment Application Fee Decision Tree Tool
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:

Enrollment Forms

Helpful Resources

Medicare Provider Enrollment Application Fee Decision Tree Tool
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:

Enrollment Forms

Helpful Resources

Medicare Provider Enrollment Application Fee Decision Tree Tool
Enroll Online with PECOS
Pay Application Fee
Check Provider Enrollment Application Status

Helpful Resources

Medicare Provider Enrollment Application Fee Decision Tree Tool
Enroll Online with PECOS
Pay Application Fee
Check Provider Enrollment Application Status