Provider Enrollment <6>

When Provider Enrollment is selected, the IVR will request and collect the following information:

• Case number (If case number is unavailable, you must provide the NPI, complete TIN (group), or the Social Security Number (SSN) (individual)

At any of these prompts, you may say, “Help” to request help.

Once the elements are authenticated, the IVR will supply the following:

• Case number
• The number of applications found
• The application type
• The receipt date
• The status of the application from the following:
  • PECOS
  • Verification
  • Development
  • Screening
  • Indexing
  • Prescreen
  • Pending
  • Closed. If closed, then the IVR will provide the applicable decision from the following:
    • Voluntary Withdrawal
    • Duplicate
    • Approved or Approved Late
    • Denied or Denied Late
    • Returned
    • Rejected
    • Deleted

Provider Enrollment Navigation

Revised 7/17/2025