Notice: This CMS-approved document has been submitted - Philips ...

CMS-1403-FC
We are also adopting the “date of filing” as the date
that the Medicare contractor receives a signed provider
enrollment application that the Medicare contractor is able
to process to approval. If the Medicare contractor denies
an enrollment application that is not later overturned
during the appeals process, the new date of filing would be
established when a physician or NPP organization submits a
new enrollment application that the contractor is able to
process to approval.
PECOS is the system that supports the Medicare provider
and supplier enrollment process by collecting and storing
provider and supplier information obtained from the Medicare
enrollment application (that is, the CMS-855). The PECOS
database retains enrollment information on Part A providers
that bill fiscal intermediaries (FIs) or A/B Medicare
Administrative Contractors (A/B MAC) and Part B providers,
including physicians and NPPs that bill carriers or A/B
MACs.
Medicare contractors use PECOS to establish new
enrollment records for providers and suppliers, update
provider and supplier information, and process requests from
individual health care practitioners for assignment of
benefits. PECOS standardized the Medicare enrollment
process and supplies enrollment data to the Part A and Part
B claims processing systems.
268