|
Last Modified: 3/26/2012
Location: FL, PR, USVI
Business: Part A, Part B
Enrollment status lookup: Help guide
Before physicians, non-physician practitioners, or facilities may receive reimbursement for items/services furnished to Medicare beneficiaries, the Centers for Medicare and Medicaid Services (CMS) requires those individuals or organizations to be approved for enrollment in the Medicare program by the Medicare administrative contractor (MAC) assigned to the jurisdiction in which services are provided. As the MAC assigned to jurisdiction 9 (J9), First Coast Service Options Inc. (FCSO) is responsible for processing provider enrollment applications for providers located in Florida, Puerto Rico, and the U.S. Virgin Islands.
Providers located within J9 may utilize either a paper-based application or an online application process for initial enrollment in the Medicare program as well as to change, reactivate, or voluntarily terminate an existing enrollment record.
• Paper-based enrollment: You may mail your completed CMS-855 paper form, your signed and dated Certification Statement, and any required support documentation to FCSO’s provider enrollment department.
• Find the CMS-855 form for your specific provider/supplier type (e.g., facility, physician, non-physician practitioner)
• For specific guidance regarding qualifications or which support documentation may be required for your provider/supplier type, please review: Documentation requirements.
• Online enrollment: To expedite the processing of your provider enrollment application, you may use the Internet-based Provider Enrollment Chain and Ownership System (PECOS) 
, which will automatically select the appropriate form and allow you to submit your application online. Note: You will still need to mail your signed and dated Certification Statement and any required support documentation to FCSO’s provider enrollment department.
, which will automatically select the appropriate form and allow you to submit your application online. Note: You will still need to mail your signed and dated Certification Statement and any required support documentation to FCSO’s provider enrollment department.Check your enrollment status
Providers (located within J9) may check the status of their paper or online applications through FCSO’s Enrollment status lookup.
This versatile application allows you to check the status of your enrollment in the Medicare program in three ways:
• You may search for all active/pending applications by entering your National Provider Identifier (NPI) and provider transaction access number (PTAN)
• You may check the status of a specific application by entering the 12-digit correspondence control number (CCN) and three-digit record number (listed in your acknowledgement letter)
• You may check to determine if you have been sent a revalidation request letter by entering your NPI or PTAN
Search for all active/pending applications
Use this option to check the status of any pending enrollment applications associated with your NPI and PTAN.
1. To search for all pending applications that are currently “in process,” click the All active applications button:
2. Enter your 10-digit NPI (numbers only)
3. Enter your six-digit PTAN (numbers and letters)
4. Click the Submit button or the Enter key
5. The search results will display all pending applications in the system:
6. Click the link to the application you wish to review
7. The application status results will display information associated with the specific application you selected, including its CCN, receipt date, application type, processing/approval status, and any actions needed to be taken at its current stage in the enrollment process (e.g., timeframe for sending requested information, when to expect an approval letter):
8. Once you have reviewed your results, you may select the link to any other pending applications, or you may initiate a new search by clicking the Change the PTAN/NPI or Start Over link.
Search for a single application
Use this option when you know the 12-digit CCN and the three-digit record number of a specific application you wish to review.
1. To search for a specific application that is currently “in process,” click the Single application button:
2. Enter the 12-digit CCN listed in your acknowledgement letter (numbers only)
3. Enter the three-digit record number listed in your acknowledgement letter (numbers only)
4. Click the Submit button or the Enter key
5. The application status results will display information associated with the application, including its CCN, receipt date, application type, processing/approval status, and any actions needed to be taken at its current stage in the enrollment process (e.g., timeframe for sending requested information, when to expect an approval letter):
6. Once you have reviewed your results, you may initiate a new search by clicking the Change the CCN-SEQ or Start Over link.
Confirm a revalidation request
Use this option when you would like to determine whether a revalidation letter has been sent by provider enrollment.
1. To search for a specific application that is currently “in process,” click the Revalidation letter button:
2. Enter your 10-digit NPI (numbers only) or your six-digit PTAN (numbers and letters)
3. Click the Submit button or the Enter key
4. The revalidation request results will display information associated with any revalidation letters sent to the entity associated with the NPI or PTAN entered. The results will also include the date the revalidation letter was sent and the letter’s CCN:
5. Clink the CCN link, and the application status results will display information associated with the application, including its CCN, receipt date, application type, processing/approval status, and any actions needed to be taken at its current stage in the enrollment process (e.g., timeframe for sending requested information, when to expect an approval letter):
6. Once you have reviewed your results, you may initiate a new search by clicking the Change the PTAN/NPI or Start Over link.
Additional resources
You may wish to take advantage of these additional provider enrollment resources:
• Provider enrollment section -- features helpful information about the provider enrollment process, including news, tips and tutorials, applications and forms, resources, and Part A/Part B FAQs.
• Internet-based PECOS resources -- features key information about CMS’ Internet-based PECOS, including news, system registration requirements, tips, tutorials, and CMS’ official Internet-based PECOS website .
.• Documentation requirements -- encompasses a series of guides that specify qualification requirements and support documentation recommendations. Each guide is focused on a specific provider or supplier type and also includes instructions to address situational-based documentation requirements to furnish proof of resolution of adverse legal actions, proof of identity and authorization to work within the United States, and Letters of Good Standing for providers located in Puerto Rico.
• FCSO’s eNews subscription page -- subscribe to FCSO's electronic new service and be among the first to learn of the latest Medicare news and other time-critical, essential program information. You will receive regularly scheduled and special enhanced eNews notifications advising you of important changes to Medicare policies as well as the availability of new Medicare publications, informative articles, and upcoming educational events. You can subscribe to one or more lists, ranging from general information to specialties or topics of interest, including provider enrollment.
