Get Pptn

The Pptn is an essential online application used by Medicare providers to access claims processing and beneficiary eligibility information. This guide provides clear, step-by-step instructions to help you complete the form efficiently and accurately.

Follow the steps to complete the Pptn form online

1. Press the ‘Get Form’ button to access the Pptn and open it in your document editor. This allows you to begin the filling process.
2. In the 'Line of Business Information' section, indicate the specific line of business along with the state you are transmitting from.
3. For the 'Submitter ID', this field is optional. If you are a new applicant, leave this section blank, as CGS will assign an ID if requested through an EDI application.
4. Enter the date on which you are completing the application in the 'Date' field.
5. In the 'Entity Name' section, provide the name of the entity such as the provider, corporate office, vendor, billing entity, or clearinghouse.
6. Check the appropriate box under 'Type of Entity' to classify your organization correctly.
7. Fill in the 'EDI Contact Person' with the name of the primary contact for electronic communication with CGS.
8. Provide the phone number, including the area code, for the contact person outlined.
9. Enter the FAX number for the contact person.
10. Input the mailing address for the submitter in the 'Address' section.
11. Specify the city, state, and zip code associated with the submitter's mailing address.
12. Insert the email address for the contact person listed; this will be used for primary communication.
13. List each group practice or provider that requires access in the 'Provider Name, Provider Number, NPI' section. Note that CGS allows for a maximum of five PTAN/NPI combinations per form.
14. In the 'First Name, MI, Last Name, Existing ID/PIN' section, enter the full names, including middle initials, of individuals responsible for the DDE or PPTN IDs. If applicable, include any existing ID they might have.
15. Upon completion, review all sections for accuracy. You can then save changes, download, print, or share the completed form as needed.

Begin filling out your Pptn form online today for quick and efficient processing!