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  • Posting Date: 11/12/2021
    Supporting Documents

    Supporting Documents Attach required supporting documentation for individuals or organizations. Submit applicable documents: CMS-588 Electronic Funds Transfer (EFT) Authorization Agreement and voided check or bank confirmation letter IRS [...]

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  • Posting Date: 11/12/2021
    Electronic Funds Transfer Agreement

    Electronic Funds Transfer Agreement Download and complete the CMS-588 Electronic Funds Transfer (EFT) Authorization Agreement. Physicians and nonphysician practitioners who are reassigning all of their payments to another entity are not [...]

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  • Posting Date: 06/07/2021
    Verify and Manage Signature(s)

    Verify and Manage Signature(s) Verify signatures on all application(s) submitted including applications that were “Return for Corrections”, by returning to the enrollment box in PECOS. Important: The reassignments are viewed by selecting [...]

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  • Posting Date: 11/15/2021
    Resolve All Errors and Verify Warnings

    Resolve All Errors and Verify Warnings Instructions for resolving all errors and warnings: Select the ‘Errors/Warning Check’ Tab.  Correct all errors identified and verify any warnings.   Related Content: Resolving PECOS [...]

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