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Internet based PECOS submission

Medicare Novitas is currently receiving a high volume of duplicate certifications/signatures for Internet-based PECOS (Provider Enrollment, Chain and Ownership System) CMS-855  submissions.  This is a result of customers submitting both an electronic signature and a hardcopy/paper certification.  When submitting an application via Internet-based PECOS, please elect only one method of submitting your signature; electronic OR hardcopy.  For additional details, please review Novitas educational article titled “Internet-based PECOS Signature Submissions” on our website in the Enrollment Center.  

When submitting an application via Internet-based PECOS, please elect one form of signature submission.

1. Electronic Signature: Internet-based PECOS allows for the provider or Authorized/Delegated Official to electronically sign the application submission. Utilizing the electronic signature process will ensure faster application submission, resulting in an earlier effective date.  This feature does not change who is required to sign the application.

OR

2. Hardcopy Certification Statement: After the ‘Submission Receipt’ page appears, the user will be notified to print the 2-page Certification Statement to be signed, dated and mailed to the Medicare Administrative Contractor. Please do not submit your certification using the certification pages from the paper CMS-855 enrollment applications.

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