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CHANGE EXISTING PROVIDER ENROLLMENT INFORMATION

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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.

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