Get Medicare Enrollment Application Submission Options

Filling out the Medicare Enrollment Application Submission Options can seem overwhelming, but with clear guidance, users can navigate the process with ease. This guide provides straightforward steps to ensure users can successfully complete their applications online.

Follow the steps to fill out the Medicare enrollment application online

1. Click the ‘Get Form’ button to download the Medicare Enrollment Application Submission Options form and open it in your preferred document editor.
2. Obtain a National Provider Identifier (NPI) before proceeding. This can be done through an online application, a paper application, or bulk enumeration by an Electronic File Interchange Organization.
3. Register in the Identity & Access Management (I&A) System to obtain a user ID and password necessary for accessing the PECOS system.
4. Log in to PECOS with your registered user ID and password, then start your enrollment application by selecting an existing enrollment or creating a new application.
5. Follow the scenario-driven prompts in PECOS to provide the necessary enrollment data based on your specific provider type. Ensure all required fields are completed.
6. After entering all required information, electronically sign your application. Save a copy of your application for your records, as hard copies do not need to be mailed to the Medicare Administrative Contractor.
7. Once submitted, your application is locked for edits until returned for corrections by the Medicare Administrative Contractor if needed. Ensure to respond promptly to any further information requests.
8. To check the status of your pending enrollment application, log in to PECOS and select 'View Enrollments' or use the application status link on the PECOS homepage.

Start your Medicare Enrollment Application Submission Options online today for a streamlined process.