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Last Modified: 8/19/2017 Location: FL, PR, USVI Business: Part A, Part B

Completing the revalidation process

Avoid deactivation of Medicare payments

Received a revalidation request? Act now: Use internet-based PECOS external link
Unsure if you have been sent a request? Be sure: Find out now

Introduction

Revalidation is a complete and thorough re-verification of the information contained in your Medicare enrollment record to ensure it is still accurate and compliant with Medicare regulations. Simply put, revalidation is re-enrollment. All providers and suppliers are required to revalidate their enrollment information every five years.
First Coast Service Options must receive your enrollment application within 60 days of the revalidation request.

Revalidate in a few simple steps

1. Determine which provider is being requested to revalidate

more Use the revalidation request tool -- confirm if you have been sent a request to revalidate and to which provider the request applies.

2. View the checklist for required information for revalidation

Take advantage of this helpful checklist to ensure that you have the information you need to successfully complete your revalidation:

3. Revalidate using internet-based PECOS or CMS-855 paper applications

Revalidation primarily consists of completing an enrollment application as you did when you first enrolled in Medicare. The process was developed to confirm the accuracy of your Medicare enrollment record currently on file.
Internet-based PECOS
Expedite the revalidation process by using internet-based PECOS. This online process is the easiest way to revalidate.
If you are not a registered user– get started with internet-based PECOS today.
Need assistance with the revalidation process using internet-based PECOS? View step-by-step tutorials to walk you through.
Paper enrollment applications
If you choose to revalidate using paper applications you must complete all applicable sections of the appropriate CMS-855 form.
Note: Section 1 of each enrollment application includes a checkbox for revalidating your Medicare enrollment and advises which sections of the form are required for completion. Keep in mind this is a thorough re-verification process and most, if not all sections, will be required.
CMS 855B for Clinics/Group practices and Certain Other Suppliers: https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/cms855b.pdf external pdf file
CMS 855I for Physicians and Non-Physician Practitioners: https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/cms855i.pdf external pdf file
CMS 855S for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers: Please visit CGS Medicare external link, the DMEPOS Medicare Administrative Contractor (MAC) for Florida, Puerto Rico, and the U.S. Virgin Islands.
Unsure which CMS-855 form to complete? Learn more here.
Additional application details
When returning your revalidation application or PECOS web certification and supporting documentation; please use the revalidation project cover sheet enclosed with your initial revalidation request letter.
Mail completed paper provider/supplier applications to:
Provider Enrollment
P.O. Box 44021
Jacksonville, FL 32231-4021
Find information regarding any required application fees.

4. Support resources

View the following resources for further assistance with the revalidation process:
Revalidation FAQs – not sure if you have to submit multiple applications? View this list of FAQs for guidance.
Search the Centers for Medicare and Medicaid services website external link for additional revalidation FAQs. Simply enter “revalidation” in the search field.
Need additional assistance? Contact provider enrollment

5. Check application status

Use the enrollment status lookup tool to check the status of revalidation applications. This tool may be used for both internet-based PECOS submissions and paper applications.
In addition, providers and suppliers may use the PECOS Self-Service Application external link to view the status of an internet-based PECOS enrollment application.
Individual practitioner external link -- required information includes: First and last names, TIN/TIN type, enrollment state/territory, and NPI.
Organization external link -- required information includes: Legal business name, TIN/TIN type, and enrollment state/territory.
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.