Provider enrollment revalidation
Avoid deactivation of Medicare payments
• Received a revalidation request?
Act now: Use Internet-based PECOS
• Unsure if you have been sent a request?
Be sure: Find out now
Find out whether you have been sent a revalidation request by using this search option featured on First Coast Service Options’ popular enrollment status lookup. You may search for revalidation requests by entering your NPI or your PTAN.
At some point, all Medicare providers/suppliers will be asked to revalidate Medicare enrollment information. Have you been sent a revalidation request? Not sure where to start? Avoid deactivation of Medicare payments by following these steps to complete the revalidation process.
This article is intended for all providers and suppliers who are enrolled in Medicare and are required to revalidate. It was revised June 15 to change the effective date of deactivations due to non-billings from five days from the date of the deactivation letter to 10 days. [SE1605]
The items in this checklist need to be addressed prior to submitting your revalidation application. Failure to address these items could result in a delay in processing your revalidation application.
Providers due for revalidation will display a revalidation due date; all those not up for revalidation will display "TBD" in the due date field. The due date will be posted up to six months in advance to provide sufficient time for the provider to comply. A crosswalk to the organizations to which the individual provider reassigns benefits will also be available.
You can download/export the entire revalidation due date dataset listing of all currently enrolled Medicare providers/suppliers in various formats (e.g., CSV, PDF, XLS, XLSX or XML).
This article contains frequently asked questions, suggestions and resources regarding the revalidation cycle 2 that are specific for the providers in Puerto Rico.
The Centers for Medicare & Medicaid Services’ sample revalidation letter offers providers the opportunity to see what they can expect to receive when it is time for them to revalidate. Access this sample to be prepared for your revalidation. Do not use this to submit your revalidation early as this will lead to the application being returned.
Here is more information about Section 6401 (a) of the Affordable Care Act that established a requirement for all enrolled providers and suppliers to revalidate their enrollment information under new enrollment screening criteria.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.