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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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  • Posting Date: 05/11/2022
    Provider Enrollment Appeals Process

    Provider Enrollment Appeals Process Table of Contents Provider Enrollment Appeals Process Corrective Action Plans Requirements for CAP Submission Reconsiderations Requirements for Reconsideration Request Submission Related Content [...]

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