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Provider Enrollment

Automated Voice Response
Provider Services
Provider Enrollment
EDI Electronic Billing

Hours of operation: 8:00 AM to 6:00 PM Eastern Time, Monday - Friday

Information needed before you call: SSN or FEIN numbers of the enrolling provider, or provider number if they have one.

Provider Enrollment Provides the following information:

  • Status of pending enrollment
  • Eligibility periods for Enrolled Providers
  • Form Requests
  • Application Requests
  • Changes pertaining to the Providers File
  • Fee Schedule Request
  • Billing Instructions and Policy Manual Request
Last Updated 5/15/2019 
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