Provider Enrollment Application Status Tracker

Palmetto GBA is pleased to provide the following application status tracker information to be used in conjunction with our Application Status Lookup Tool. The following steps detail the natural flow of the CMS Form 855 and 20134 through the enrollment process from receipt to completion. Based on the current status of the application, the Application Status Lookup Tool will display the current status step as detailed below.

Provider Enrollment Application Status Tracker Steps
1. Application received – initial screening not complete
2. Initial screening COMPLETE. No additional information needed at this time
3. Pending Provider Response
4. Pending Provider Response – 2nd Request
5. Provider Response Received
6. Additional Information Request NOT Received
7. PECOS System Update Pending
8. Claims System Update Pending
9. Closed