Frequently Asked Questions

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By Topic: Provider Enrollment & Certification

What is an IRS Form CP 575?
The IRS Form CP 575 is an Internal Revenue Service generated letter you receive from the IRS granting your Employer Iden... (more)

How do I enroll in Medicare?
Providers can enroll in Medicare by using either Internet-based PECOS located at ... (more)

How do I know if I have a PECOS Record?
There are three (3) ways to verify that you have an enrollment record in PECOS:  Check the Ordering and Referrin... (more)

How do physicians join or leave a group?
If both the physician and the group are already enrolled with the same carrier, the physician and the group together are... (more)

Is there a way for providers to check the status of an enrollment application they have submitted for order...
Yes. If you submitted an enrollment application for ordering/referring purposes on paper or via Internet-based PECOS and... (more)

How do you make changes to the provider enrollment information on file with your fee-for-service contractor?
Providers and suppliers should report changes using the applicable paper provider enrollment application (CMS-855) fo... (more)

How can I submit my revalidation?
There are two options to submit your revalidation application. The appropriate CMS-855 paper enrollment application l... (more)

Why do I have to pay a Medicare enrollment application fee?
Section 6401(a) of the Affordable Care Act (ACA) requires the Secretary to impose a fee on each "institutional provid... (more)

How long does it take to process my revalidation application?
If the application is submitted complete and with all required supporting documentation, it should be processed in less ... (more)

How much is the application fee?
The application fee is currently $553 for CY2015; however, based upon requirements set forth in Section 6401(a) of the A... (more)

How often will providers and suppliers be required to revalidate?
Providers and suppliers, including physicians, are required to revalidate their information every five years on the anni... (more)

Do I have to submit an Electronic Funds Transfer Authorization Agreement (EFT) (Form CMS- 588) with the rev...
All providers/suppliers are required to submit a new Form CMS-588 with their initial enrollment and their revalidat... (more)

Who do I contact if I have questions about supporting documents required to be submitted with my revalidati...
Questions related to supporting documents, application fees and the status of your revalidation application should be di... (more)

Why must I revalidate?
In accordance with the Patient Protection and Affordable Care Act, Section 6401, all new and existing providers must be ... (more)

If I am joining a Group, will I need to submit the Group’s National Provider Identifier (NPI) in section ...
In Section 4B of the CMS-855I, the NPI of the Group should be entered if it has been issued to the Group. If you are jo... (more)

What is the difference between completing the CMS 855I or the CMS 855O applications?
If you wish to enroll to be reimbursed for the covered services furnished to Medicare beneficiaries, you must complete t... (more)

I am the sole owner of multiple practice locations.  Do I need to submit a CMS-855I for each location?
Each unique Tax Identification Number (TIN) requires a separate CMS 855 form. If multiple practice locations contain the... (more)

Is there a way for providers to verify their enrollment in Medicare for ordering/referring purposes?
Yes. On the CMS Medicare provider/supplier enrollment website there is an Ordering Referring Report that contains the NP... (more)

I am a Medicare provider.  What address will my revalidation letter be sent to?
The revalidation letter will be sent to the special payments and correspondence addresses simultaneously. If these are t... (more)

Are veterinarians eligible to obtain NPIs?
Veterinarians are not eligible for NPIs because they do not meet the regulatory definition of “health care provider”... (more)

Where can I find additional information on the revalidation process?
Revalidation information is available at: ... (more)

I recently hired a new office manager. In addition, we will be moving next week. Should I submit that infor...
Providers/suppliers should continue to submit routine changes in a timely manner. If the provider/supplier also receives... (more)

Are breast pumps and/or breast pump supplies covered under the Medicare durable medical equipment standards?
Breast pumps and breast pump supplies are not covered by Medicare in any circumstance.... (more)

When using Internet-based PECOS, am I still required to print, sign and mail my certification statement to ...
Internet-based PECOS now allows providers to sign all Medicare enrollment applications electronically. Any Individual... (more)

How do I pay my application fee when submitting a Medicare enrollment application?
Application fees must be made electronically through  However, providers and suppliers who take advantage ... (more)

What are the provider enrollment screening levels?
Section 1866 (j)(2) of the Act requires the Secretary to determine the level of provider enrollment screening applicable... (more)

Will there be a way to revalidate without having to complete the entire enrollment application again?
Yes, using Internet-based PECOS to revalidate allows you to review information currently on file, update and submit your... (more)

If I inappropriately/erroneously obtained an NPI and later found that I am not eligible for an NPI, how can...
If an NPI were obtained and the applicant found that he/she/it should not have obtained one, the NPI holder should send ... (more)

What do I need to do in order to become reactivated?
In order to be considered for reactivation you need to submit a revalidation application by using the Internet-based PEC... (more)

Can I fax a copy of the provider enrollment application to the Medicare contractor?
No. Since the enrollment application must contain an original signature, you cannot fax an enrollment application to a ... (more)

What Are the Requirements for Ordering/Referring?
There are three basic requirements for ordering/referring.  First, the physician or non-physician practitioner m... (more)

If an individual is an intern, resident, or fellow, does he or she have to be licensed in order to register...
The final rule states that State-licensed residents may enroll to order and/or certify and may be listed on claims. ... (more)

The authorized and delegated officials and the owners of our medical group changed last year. Who should si...
All changes in ownership and authorized/delegated officials must be reported when submitting your revalidation applicati... (more)

How do I submit an opt- out affidavit?
Opt- out affidavits must be submitted in writing to your Medicare Administrative Contractor (MAC). For more information,... (more)

What will occur if I do not respond to the revalidation request within a timely manner?
Failure to respond to a revalidation notice could result in the deactivation of your Medicare billing privileges.  ... (more)

I submitted my revalidation application after receiving a deactivation letter; however, I still appear in a...
The Medicare Contractor should remove the deactivation upon receipt of your revalidation application. If this does not o... (more)

Will there be a penalty for not reporting the ownership change?
Medicare requires that providers and suppliers inform Medicare of changes in any enrollment information. In accordance w... (more)

If the information in my revalidation is different than what you have on file about my practice location, a...
The purpose of this revalidation is to ensure all provider enrollment records are accurate and up to date. Generally, CM... (more)

If I find a Healthcare Provider Taxonomy Code applicable to my specialty or applicable to the type(s) of se...
In order to be eligible for an NPI, the applicant must meet the definition of a “health care provider” as defined in... (more)

Can you please provide the reference link that identifies those providers and suppliers who will be deemed ...
Yes, the following links you directly to the article which addresses the ACA related enrollment changes: "... (more)

Will I be notified once my revalidation enrollment is processed?
Yes, your Medicare Contractor will send an approval letter when your revalidation application has been processed. To che... (more)

What is the difference between using the Internet-based PECOS and a paper form to submit my revalidation?
Internet-based PECOS allows you to review information currently on file, update and submit your revalidation via the Int... (more)

Will I be contacted if my application is found to be incomplete or missing information?
Yes, you will receive a letter requesting the missing information via mail, fax or email. All information is due back to... (more)

What is the fingerprint requirement?
... (more)

How do I know if I have received a revalidation request?
A list of providers and suppliers who have been sent revalidation requests are available at: "... (more)

I bill Medicare for items and services that were ordered or referred. How can I be sure that my claims for ...
You need to ensure that the providers from whom you accept orders and referrals have current Medicare enrollment records... (more)

For those providers and suppliers subject to site visits, who will conduct the site visits?
Announced and unannounced site visits are required prior to enrollment for initial enrollment, new practice locations... (more)

The revalidation letter received includes Provider Transaction Access Numbers (PTANs) that are not used any...
This letter includes all of the provider’s active PTANs as listed in PECOS. It is the provider’s responsibility to r... (more)

What is the final rule for ordering and referring and its implications?
CMS published the [CMS-6010-F] RIN 0938-AQ01 Medicare and Medicaid Programs; Changes in Provider and Supplier Enrollm... (more)

I am an Opt-out physician. Will I need to revalidate to keep my opt out status?
Physicians and non-physician Practitioners who have opted-out of the Medicare program are not required to revalidate.&nb... (more)

Am I still required to submit a voided check or letter from the bank with my CMS 588 EFT form?  If so,...
Providers/suppliers are still required to provide confirmation of account information via bank letterhead or voided chec... (more)

Do prescribers, including dentists and pharmacists, who prescribe Part D drugs need to be enrolled in Medic...
Yes, prescribers of Part D drugs must enroll in Medicare or have a valid record of opting- out.  This includes dent... (more)

What will happen to providers or suppliers with applications that have been pending for months at the time ...
... (more)

What authority does Medicare have to require enrollment or opt- out?
CMS published the CMS-4159-F final rule titled Policy and Technical Changes to the Medicare Advantage and the Medicare P... (more)

What if I forgot my PECOS User ID or Password?
If you cannot remember your User ID, you may select the “Forgot User ID?” link on the PECOS home page. Forgotten pas... (more)

My initial Medicare enrollment was approved Do I have to revalidate?
Excluded from the revalidation requirement are providers/suppliers that were initially enrolled or voluntarily revalidat... (more)

Why do we have to revalidate when we have been billing and getting paid?
Various sections of the Social Security Act and the Code of Federal Regulations require providers and suppliers to furni... (more)

If an individual is employed by an agency that is not eligible for Medicare billing or is an intern or resi...
Yes. With the implementation of Section 6405 of the Affordable Care Act, CMS permits certain physicians or other elig... (more)

If a dentist opts- out of Medicare, can he/she still participate in Medicare Advantage Plans?
... (more)

Will there be a gap in payment while my revalidation application is being processed?
There will be no gap in payment once your complete revalidation application is received by the Medicare contractors. ... (more)

I have an established record in the Provider Enrollment Chain and Ownership System (PECOS). How do I select...
Once you have logged into PECOS, select “My Enrollments” from the Welcome Page and then “View Enrollments”. Iden... (more)

Who can I contact if I have questions regarding Medicare application fee payment policies?
Questions regarding Medicare application fee payment policies may be sent to your local Medicare Administrative Contract... (more)

I have not received a revalidation letter yet from my Medicare Contractor. Should I submit a revalidation e...
Your Medicare Contractor will be sending out revalidation letters over an extended period of time. Please DO NOT subm... (more)

I am a provider practicing in several contractor jurisdictions. Can I submit one provider enrollment revali...
You will receive a separate request to revalidate from each of the Medicare Administrative Contractors (MACs) and you... (more)

When submitting application fees for multiple enrollments under the same Tax ID, how will CMS know which PT...
If you are submitting more than one payment, CMS uses the Tax ID to match the payment to your application. It does not m... (more)

What do I do once I receive a revalidation request?
Once you receive the request for revalidation from your Medicare Contractor, the quickest and easiest way to complete yo... (more)

The PTAN submitted on the revalidation letter is only my group’s PTAN. Do I need to revalidate all of the...
No. If the revalidation letter is for the group, then the revalidation is for the entity only. If the individuals associ... (more)

What is the status of the CMS moratorium?
CMS published a Federal Register document announcing the extension of its temporary moratoria on the Medicare, Medicaid ... (more)

Who is required to be fingerprinted?
... (more)

What is revalidation?
Revalidation is a process in which CMS requires providers and suppliers to update or validate their enrollment informati... (more)

What types of locations will be provided? 
... (more)

I am an individual provider.  I plan on retiring shortly, do I still have to revalidate?
If you are asked to revalidate, please respond to the revalidatation request. Only if you have already retired and are n... (more)

My entity is enrolling/revalidating its enrollment as a federally-qualified health center (FQHC). Is it sub...
Yes, a newly enrolling or revalidating FQHC is subject to the application fee. However, if your entity believes the appl... (more)

Who May Order/Refer for Medicare Part B and DMEPOS Beneficiary Services?
Only Medicare-enrolled approved or opted-out individual physicians and non-physician practitioners of a certain speci... (more)

How will the technical vs. professional components of imaging services be affected by the edits when implem...
Consistent with the Affordable Care Act and 42 CFR § 424.507, suppliers submitting claims for imaging services must ide... (more)

Do the moratoria apply to all changes in provider or supplier enrollment status or is this only for new ini...
The moratorium does not apply to changes in enrollment status for those providers and suppliers currently enrolled in th... (more)

How is the “high” level of risk determined?
... (more)

If a billing provider submits a claim for referred clinical laboratory and imaging services from a provider...
Yes. The claim will deny because the referring provider who is located outside of the US is ineligible to enroll in Medi... (more)

We are a Hospital Based Multi-Specialty physician group practice, an Office Based Multi-Specialty physician...
The fee is only charged to entities. Institutional entities, groups and DMEPOS supplier entities are charged a fee. Indi... (more)

How will I know if I should be fingerprinted?
... (more)

What must a DMEPOS supplier furnish to CMS during the enrollment process to be in compliance with the licen...
... (more)

How do I submit a fee for multiple enrollments under the same Tax ID?
You must separately submit the required application fee payment for each enrollment application under the same Tax ID. T... (more)

Who May Order and Refer for Medicare Part A Home Health Agency (HHA) Beneficiary Services?
Only Medicare-enrolled or opted-out individual physicians of a certain specialty type may order/refer for Part A when... (more)

The only two options on the CMS 855I/855O forms for dentists are Maxillofacial Surgery and Oral Surgery (de...
The forms are not being updated at this time.  Dentists should select from the Maxillofacial Surgery, Oral Surgery ... (more)

Is a revalidation required if recent changes have been made and submitted by using 855 forms?
Even if a provider recently submitted changes to their enrollment application, the provider or supplier must still respo... (more)

How can I get more information on the Part D enrollment requirements?
Prescribers can either visit their MACs website or access information on our enrollment website by going to a... (more)

What is is operated by the U.S. Department of the Treasury and is a web-based application that allows you to make online... (more)

Why is the Centers for Medicare and Medicaid Services (CMS) requiring individuals to be fingerprinted?
... (more)

Who should be listed as the ordering/referring physician on the claim when an Ophthalmologist performs cata...
The provider that prescribed the glasses should be listed on the claim as the ordering or referring physician. If the Op... (more)

I am the enrollment contact for a large group with 200 or more reassignments and have received the group no...
At this time, CMS is not permitting groups to revalidate multiple providers at once using the spreadsheet provided as pa... (more)

What are the ordering and referring edits?
The edits will determine if the Ordering/Referring Provider (when required to be identified in Part B, DME, and Part A H... (more)

How do I interpret the information provided on the enrollment file?
CMS had made available an enrollment file that identifies providers who are enrolled in Medicare in an approved or op... (more)

If a supplier makes solicited contact with a beneficiary for a particular covered item, can the supplier sp...
No. If this is the first contact ever made by the supplier to the beneficiary, then the supplier is prohibited from atte... (more)

What if I receive a letter which lists individuals no longer with my organization?
... (more)

What happens if all of the 5% or greater owners of my organization do not get fingerprinted within 30 days ...
... (more)

Can I submit a photocopy of the provider enrollment application?
Yes. While it is acceptable to photocopy the enrollment application, it is unlawful to alter it in any manner. Moreover,... (more)

I need more time to complete my revalidation application.  How can I request an extension?
Extension requests should be coordinated with your Medicare Contractor and requested in writing (fax/email permissible) ... (more)

How do I apply to order or refer if I am a physician who is of a type/specialty that is eligible to order a...
Physicians or other eligible professionals can apply for enrollment for the sole purpose of ordering and referring items... (more)

My initial Medicare enrollment was approved recently. Do I have to revalidate?
Excluded from the revalidation requirement are providers/suppliers that were initially enrolled or voluntarily revalidat... (more)

Can a provider or supplier appeal CMS’ decision to impose a temporary enrollment moratorium?
Yes, however, the scope of review will be limited to whether the temporary moratorium applies to the provider or supplie... (more)

I'm not comfortable with making payments online. Can I mail in my payment or pay over the phone?
No. Do not mail application fee payments. Payments cannot be accepted by mail or phone. Please note that all fees must b... (more)

When State licensure is required to furnish a DMEPOS item or service, what is the required employment relat...
In these situations, the lic... (more)

To whom do the moratoria extensions apply?
... (more)

I have not received a revalidation letter yet from my Medicare Contractor. Does that mean I do not have to ...
No, that does not mean you do not have to revalidate. Your Medicare Contractor will be sending out revalidation letters ... (more)

How will the remaining claims be handled, if a Medicare beneficiary was ordered a 13-month DME capped renta...
Claims for capped rental items will continue to be paid for up to 13 months from the physician’s date of deactivate to... (more)

How will CMS monitor access to care issues?
CMS is monitoring access to care issues through coordination with State Medicaid Agencies and beneficiary complaints to ... (more)

How does CMS identify where and how the same, similar or new fraud trends are emerging?
CMS is monitoring the trends related to home health provider and ambulance supplier enrollment in Medicare to identify e... (more)

For home health care claims what date is used to determine if the claim will be paid when the denial edits ...
The “From Date” on the claim will be used to determine if the claim is paid.  Claims submitted with a “From D... (more)

What Part B claims are impacted by the ordering/referring denial edits?
Only part B claims submitted for clinical laboratory and imaging services will be impacted by the edits. Imaging service... (more)

Is the beneficiary liable for payment if the claim is denied for failing the ordering/referring edits?
Claims from billing providers and suppliers that are denied because they failed the ordering/referring edit shall not ex... (more)

Is there any requirement for MACs to verify the EFT address with the address on file or the address provide...
Provider Enrollment MACs will verify the EFT form is complete and request an update if it is not complete.  Provide... (more)

What is the payment processing schedule for
The site is available 24 hours a day, 7 days a week (holidays included) for users to submit payments, with th... (more)

Does the provider have any say in determining in which screening category they are placed?
The following link takes you directly to the MLN article which addresses the ACA related enrollment changes: "... (more)

Does the application enrollment fee apply to those who submit the 855 S?
Yes.... (more)

How is the “high” level of risk determined?
The high level of risk is applied to providers and suppliers who are newly enrolling Durable Medicare Equipment, Prosthe... (more)

How do I change or cancel an application fee payment?
If you have a payment you need to change or cancel, please contact CMS’ External User Services Help Desk at 1-866-484-... (more)

Under what circumstances can a DME supplier make telephone contact with a beneficiary regarding a Medicare ...
If the beneficiary gave written permission for the supplier to contact him/her, or if the supplier has already provid... (more)

How will hospital based imaging services be affected by the edits?
Hospital based imaging services billed with place of service (POS) codes 21 (Inpatient Hospital), 22 (Outpatient Hospita... (more)

Who can I contact if I have problems submitting my application fee?
You should use the HelpTools available on the site for questions specific to the payment processing. Other quest... (more)

I order and refer.  How will I know if I need to take any sort of action with respect to the ordering ...
In order for the claim from the billing provider (the provider who furnished the item or service) to be paid by Medicare... (more)

Does 6028-FC require Part A/Part B health care providers that employ physicians and nonphysician practition...
6028-FC does not require providers to query a database. Pursuant to our recently published rule newly-enrolling and e... (more)

Will large groups consisting of 200+ reassignments be notified when the providers within their group have b...
Yes. Within 15 days of receiving the CMS list of providers required to revalidate, Medicare Contractors will mail a noti... (more)

Where can I find the file that lists the providers that are enrolled in an approved or opt- out status?
The file can be accessed at and will be generated every two week... (more)

Is global billing still allowed after January 1, 2012 when the accreditation requirement goes into effect?
Yes, global billing is still allowed; however, if you are not accredited and you submit a global claim for an ADI servic... (more)

We are a pharmacy. Will we get separate revalidation requests for each entity?
In most instances each enrolled provider will receive a separate request to revalidate. Each enrolled institutional prov... (more)

Will previously denied claims, in cases where a claim is submitted after January 6, 2014, be paid on resubm...
The ordering physician’s date of enrollment must be prior to the date of service on the claim, upon resubmission, in o... (more)

How will CMS know when to lift the moratoria? What are the next steps that follow a moratorium?
The moratoria extension announced on January 29, 2015, will remain in place for six months, after which CMS will assess ... (more)

Am I required to receive Medicare reimbursement electronically through electronic funds transfer?
Yes, Section 1104 of the Affordable Care Act (ACA) further expands Section 1862 (a) of the Social Security Act mandating... (more)

Will I continue to receive Medicare payments while my MAC is processing my revalidation?
Yes.... (more)

Is CMS using other tools, such as revalidation and high risk screening, in addition to the moratoria to pre...
... (more)

We are a pharmacy. What is the deadline for us to submit our revalidation?
The MAC, including the National Supplier Clearinghouse (NSC) will notify each supplier to revalidate. Suppliers and prov... (more)

How and when were these edits implemented?
Effective January 6, 2014, CMS instructed contractors to turn on Phase 2 denial edits on the following claims to chec... (more)

I am the enrollment contact for a group with less than 200 reassignments. Will I receive a group notificati...
No. Groups with less than 200 reassignments will not receive a letter or spreadsheet from their Medicare Contractor but ... (more)

What information must be included in the documentation maintained by the enrolled supplier that is responsi...
The medical records maintained by the DMEPOS supplier must include the DMEPOS supplier’s name, the licensed individual... (more)

Does the Fingerprint Based Background Check (FBBC) contractor have an Originating Agency Identifier (ORI) n...
... (more)

What if I receive a letter that does not list all 5% or greater owners for my organization?
... (more)

Will the Phase 2 edits deny claims ordered by providers whose applications are “pending” with the Medic...
CMS will deny claims for ordering/referring providers whose applications are currently in a “pending” status. The ph... (more)

How will I know where to go to be fingerprinted? 
... (more)

Is there a cost to be fingerprinted?
... (more)

How do I know my application fee payment was successful?
At the end of submitting your payment, you will see a confirmation screen indicating your payment was successful. This c... (more)

Do the ordering/referring edits apply to Hospitalist who are licensed physicians employed by a hospital?
Doctors of medicine or osteopathy and doctors of podiatric medicine are the only Medicare-enrolled individual physicians... (more)

Will the Phase 2 edits be effective based on the date of service or the date of claim receipt?
The edits are effective for claims with dates of service on or after the implementation of the Phase 2 denial edits.... (more)

What if I have been fingerprinted previously for reasons other than my Medicare enrollment?
... (more)

Is a supplier contacting the beneficiary based on the receipt of a physician order considered an "unsolicit...
If a physician contacts a supplier on behalf of a beneficiary with the beneficiary's knowledge, and then a supplier cont... (more)

When would a provider/supplier be permitted to cancel EFT?
As Medicare only pays claims electronically, cancelling EFT enrollment is a choice not applicable to most situations and... (more)

If I am a part of multiple Medicare enrollments, will I be required to be fingerprinted more than once?
... (more)

Who is responsible for the cost of the fingerprinting?
... (more)

What is preventing the fraudsters from moving to another town, enrolling as a different provider type, or a...
To address the migratory nature of fraud schemes, CMS has extended the moratoria beyond the target counties to the count... (more)

Can MACs develop for the correct version of the CMS 588 (Electronic Funds Transfer (EFT) Authorization Agre...
Yes, MACs should not return the entire enrollment package because of an outdated EFT form submission.... (more)

How much time will I have to be fingerprinted?
... (more)

What are the accepted credit card types for the application fee? accepts Visa, MasterCard, American Express, and Discover.  ATM-only cards and debit cards from other proces... (more)

What types of claims are impacted by the Ordering and Referring edits?
The ordering/referring provisions of the final rule only apply to items of DMEPOS, imaging and clinical laboratory servi... (more)

When will this provision become effective?
The enforcement date of the Part D enrollment requirement has been delayed until December 1, 2015.  Therefore, if y... (more)

Will I receive notification when my background check is completed?
... (more)

Do the temporary enrollment moratoria apply to Medicaid and CHIP?
Yes.  CMS has determined that the risk posed to Medicare also exists for Medicaid and CHIP. CMS also consulted with... (more)

What if I receive a letter that does not list all 5% or greater owners for my organization?
Please contact the MAC immediately to update your Medicare enrollment record.  ... (more)

Does a supplier have to collect and maintain documentation from the physician reflecting that the physician...
No. However, it would be a business decision on the part of the supplier whether to collect and obtain such documentatio... (more)

Once I am fingerprinted, what happens next?
... (more)

What if I receive a letter which lists individuals no longer with my organization?
Please contact the MAC to update your Medicare enrollment record. ... (more)

Will I receive notification when my background check is completed?
No, the provider or supplier will be notified only if CMS takes an enrollment action against the provider or supplier ba... (more)

Is the Fingerprint Based Background Check (FBBC) contractor certified under the Federal Information System ...
... (more)

How can the fingerprint contractor be contacted?
... (more)

What if my claim is denied inappropriately because of ordering/referring edits?
If your claim did not initially pass the Ordering/Referring provider edits, you may file an appeal through the standard ... (more)

Will my revalidation notice come in a specific color envelope from the Medicare Contractor?
CMS encourages all Medicare Contractors to use a yellow colored envelope. However, it is not required that a yellow enve... (more)

Is secure?
Yes. uses 128-bit SSL encryption to protect your transaction information while you're logged in to In a... (more)

What is an "ACH" payment?
ACH stands for "Automated Clearing House" and refers to an electronic debit from a checking or savings account, commonly... (more)

Is a supplier returning a beneficiary's phone call considered an "unsolicited" contact?
No. In that scenario, the beneficiary initiated the contact and is inviting a response from the supplier.... (more)

How quickly is my credit card payment for the application fee processed?
Credit card payments submitted by midnight Eastern Standard Time will settle in your account the next business day.... (more)

What do I do if I’m sure I didn’t authorize an electronic transaction?
First, review your records to make sure there are no missing transactions that haven’t been recorded. The next step is... (more)

How will the application fee transaction appear on my bank or credit card statement? transactions will usually appear with the description "CMS Medicare applic fee." If you're not sure what a parti... (more)

Why is Medicare implementing these edits?
These edits help protect Medicare beneficiaries and the integrity of the Medicare program. ... (more)