How to Navigate through PECOS How to Navigate through PECOS

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1 How to Navigate through PECOS How to Navigate through PECOS The following walk-thru explains how a user will navigate through PECOS to create an initial enrollment, continue working on application, perform a change of information, start a revalidation or how to add or remove a reassignment of benefits. 1. The user will go to the PECOS web site at and enter their I&A User ID and Password. Then select "Log In".

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3 2. The user will be taken to the "Welcome" screen and under "Manage Medicare and Account Information" the user will have three buttons: "My Associates", "Account Management", and "Revalidation Notification Center". Also, all pending signatures for recently submitted enrollments will be displayed under "Manage Signatures" on the bottom of the page. Under "Manage Signatures", if there are any pending e-signatures, the user will have the option to "View and Sign" them. See How to Electronically Sign an Enrollment for instructions on how to complete pending e-signatures. The user will select "My Associates".

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5 3. The user will be taken to the My Associates page. All of the Individuals and Organizations the user is associated with in I&A with existing Medicare enrollments will be shown. The user may read the important information listed in red and also view the links to the Checklists for the required information needed to complete an application in PECOS. If an SEU logs into PECOS and does not see a provider, the user should select "Create New Application" to check if they see the provider. If they do not see the provider in the list, the SEU does not have access to the provider and the AO or DO should modify their business functions. Refer to Authorized Official Modifies Staff End User Business Functions.

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7 4. The user will either create an initial enrollment or access an existing enrollment. If the user is enrolling in Medicare for the first time or creating the application for a different state, enrollment type, etc. the user will select "Create Initial Enrollment Application".

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9 The user will select the radio button next to the Individual or Organization the enrollment is being created for, then select "Next Page". The user will indicate the Health Services Rendered. Healthcare Organization Individual Provider The user will select the radio-button next to the option that best represents their healthcare services rendered. Then select "Next Page". Based on the option selected on this page, some of the other pages will ask different questions.

10 The user will select the State/Territory where the healthcare services are rendered from the drop-down menu, then select "Next Page".

11 The user will select the supplier type from the drop-down menu to indicate the Primary Medicare Services Rendered. If Institutional Provider was indicated for the the Health Services Rendered, then the user will select the Part A Supplier Services. If Clinic/Group Practice was indicated for the the Health Services Rendered, then the user will select Part B Supplier Services. Then select "Next Page". Once the enrollment has been started, the Supplier Type cannot be changed. If the wrong Supplier Type was selected the user will need to delete the application and start over. If the user selects the Part A/B Supplier Services as "Other" from the drop-down menu, the "Undefined Type Specification" will become active and will be required to be filled out.

12 The user will select the "Yes" or "No" radio-button to indicate if the applicant is an Indian Health Service (IHS) facility, then select "Next Page".

13 The user will be taken to the "Individual Reassigning Benefits" page of the Application Questionnaire. To begin the application, select "Next Page".

14 The user will be taken to the "Confirm Reason for Application" page. The user will select "Start Application" to fill out the enrollment. The page will display details about the Healthcare Organization such as the Legal Business Name, Tax Identification Number, Supplier Type and State for the enrollment.

15 The user will select the radio-button next to the option that best represents their healthcare services rendered. Then select "Next Page".

16 Based on the option selected on this page, some of the other pages will ask different questions. The user will indicate what they are applying as, then select "Next Page". If the user is not sure how they should apply, they can select the plus signs on the "Help" tool and the meaning of each term will display. Once the enrollment has been started the Applicant

17 Description cannot be changed. If the wrong Applicant Description was selected the user will need to delete the application and start over.

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19 The applicant information will be displayed, the user will select "Next Page" The Individual Providers Date of Birth (DOB) and Social Security Number (SSN) will be prepopulated and will be masked as it is Personal Identifiable Information (PII). This information is pulled from NPPES. If the DOB and SSN are incorrect, they must be corrected in NPPES first. The user will select the State/Territory where the healthcare services are rendered from the drop-down menu, then select "Next Page".

20 The user will indicate the Individual Providers Part B Physician or Non- Physician Primary Specialty. Then select "Next Page". If the user selects the Part B Physician/Non-Physician Specialty as "Other" from the drop-down menu, the "Undefined Type Specification" will become active and will be required to be filled out.

21 The user will indicate if the Individual Provider will be reassigning their benefits to any entity. Then select "Next Page". The entity receiving the Individual Providers benefits must be enrolled in Medicare or have a pending enrollment.

22 The user will be taken to the "Confirm Reason for Application" page. The user will select "Start Application" to fill out the enrollment. The page will display details about the Individual Provider such as their Name, masked SSN, Practitioner Specialty and State for the enrollment.

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24 In each of the tabs the Enrollment ID, PacID, and Web Tracking ID will be displayed. The Web Tracking ID will begin with a T and is a 16 digit tracking number that is assigned when the enrollment was started in PECOS. 6. Once the "My Application Progress" is at 90% and there are not any more errors in the "Error/Warning Check" the user will be able to submit the enrollment by selecting Begin Submission. If the enrollment has any Warnings in the "Error/Warning Check" the enrollment may still be submitted. However, enrollments cannot be submitted if there are Errors.

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