Internet PECOS Eases Medicare Enrollment

The Centers for Medicare & Medicaid Services (CMS) is introducing an Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) application for providers and suppliers to speed review and allow electronic signatures.

In its Internet-based PECOS, CMS says all individual provider applications not including new reassignments may e-sign the application as part of the submission process. This applies to physicians and non-physician practitioners, including those enrolling just to order and refer.

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Any organizational provider applications submitted via Internet-based PECOS will require the user completing the application to provide an email address for the authorized official/delegated official (AO/DO) of the application as part of the submission process. The AO/DO can then follow the instructions in the email and electronically sign the application, according to CMS. This applies to institutional providers; clinics, group practices, and certain other suppliers; and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers.

Any individual provider application (855-I) containing new reassignments (855-R) can be electronically signed as part of the submission process; however, you must select the AO/DO for the organization that is accepting the reassignment and enter that official’s email address. The official then will be required to follow the instruction in the email and electronically sign the application.

Individual providers or AO/DOs not wanting to make use of the e-signature process can simply follow the current process of printing and signing the certification statement (which then needs to be mailed to their appropriate contractor).

Learn more about PECOS, and be on the look-out for more enhancements in the coming months. Questions concerning a PECOS system issue should be referred to the CMS EUS Help Desk at (866) 484-8049 or


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