ADR letters are mailed to either the “Pay To” or the “Practice Location” address that the provider has designated on their enrollment application to National Government Services. Any changes to the “Pay To” or “Practice Location” address must be submitted via PECOS or by completing the 855 enrollment application for a change of information. 

Providers should have processes in place to ensure that proper staff is receiving and responding to the Medical Review ADRs in a timely fashion to avoid denials due to non-response.

You are now able to update your Part B enrollment by adding contact information in the newly added MRCA section of the PECOS/Enrollment application. Updating your enrollment with this information will help our Medical Review staff in the event there are any questions or concerns during the review process.

View our YouTube video MAC Medical Review Best Practices: Updating Your Contact Information for more information.

You can avoid delays in mailing by responding to ADRs in NGSConnex. Pre-payment review ADR letters are visible in NGSConnex. Providers can simply upload documents electronically for a quick and efficient response.

Refer to Respond to Medical Review Additional Documentation Requests for complete instructions.