How can I get my billing privileges reactivated?

Answer:
There are several reasons why billing privileges may become inactive. These include:
  • The supplier failed to complete/return the revalidation package within the established time frame
  • The supplier did not submit claims for four consecutive quarters
  • The supplier did not meet the conditions outlined in the Medicare DMEPOS supplier standards
  • The supplier voluntarily terminated Medicare billing privileges 

If the billing privileges are inactivated for any reason, the CMS 855S must be completed in its entirety. All attachments (e.g., licenses, insurance, IRS documents, copy of the NPI notification) must be included. The CMS 855S (PDF, 609 KB) may be downloaded from the CMS website or suppliers may submit the application electronically through the Provider Enrollment Chain and Ownership System (PECOS). 

Note: Billing privileges will not be reactivated until the entire process is completed and the supplier has been determined to be in compliance with the supplier standards. It is in the best interest of the supplier to keep on top of revalidation, etc., to make sure that its billing privileges are not deactivated. Claims cannot be paid during the time billing privileges are inactive.

Contact NSC

Email National Supplier Clearinghouse

Contact a specific NSC department

Telephone: 866-238-9652

IVR: 866-238-9652

Address:

National Supplier Clearinghouse

Palmetto GBA, AG-495

P.O. Box 100142

Columbia, SC 29202-3142

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bid Program

Jurisdiction J A/B MAC Transition

Jurisdiction J Part A MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

National Supplier Clearinghouse MAC

Anonymous

 


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