The Centers for Medicare & Medicaid Services (CMS) establishes timeframes and standards for all Medicare contractors regarding provider enrollment applications. Please be aware of these timeframes when submitting applications to Palmetto GBA. Our goal is to provide the best possible service to you.

Application Type
*Standards:
Paper Applications
Initial CMS-855B and CMS 855I applications
Complete applications (no information missing):
  • Process 80% within 60 calendar days of receipt
  • Process 95% within 90 calendar days of receipt
Incomplete applications requiring 1 additional request from Palmetto GBA:
  • Process 80% within 90 calendar days of receipt
  • Process 90% within 120 calendar days of receipt
  • Process 95% within 180 calendar days of receipt
Incomplete applications requiring 2 additional requests from Palmetto GBA:
  • Process 70% within 90 calendar days of receipt
  • Process 80% within 120 calendar days of receipt
  • Process 90% within 180 calendar days of receipt
Changes, Voluntary Terminations, Stand Alone Reassignments /EFTs
  • Process 80% within 60 days
  • Process 90% within 90 days
  • Process 95% within 120 days
 
 
 
 
Initial CMS-855B applications from IDTFs
Complete applications (no information missing):
  • Process 70% within 90 calendar days of receipt
  • Process 80% within 120 calendar days of receipt
  • Process 95% within 180 calendar days of receipt  
Incomplete applications requiring 1 additional request from Palmetto GBA:
  • Process 65% within 90 calendar days of receipt
  • Process 75% within 120 calendar days of receipt
  • Process 90% within 180 calendar days of receipt  
Incomplete applications requiring 2 additional requests from Palmetto GBA:
  • Process 60% within 90 calendar days of receipt
  • Process 70% within 120 calendar days of receipt
  • Process 80% within 180 calendar days of receipt
Application Type
*Standards:
Internet PECOS Applications
Internet-based PECOS/non-paper applications
  • Process 90% within 45 calendar days of receipt
  • Process 95% within 60 calendar days of receipt
  • Process 99% within 90 calendar days of receipt

*CMS may adjust these timeframes periodically

Reference:

  • MLN Matters article MM6807, 'Change in Provider Enrollment Standards for Certain Paper Applications' (PDF, 76 KB)
  • CMS Fact Sheet (PDF, 1.41 MB): 'The Basics of Internet-based Provider Enrollment, Chain and Ownership System (PECOS) for Physicians and Non-Physician Practitioners' 

Contact Palmetto GBA JJ Part B Medicare

Provider Contact Center: 877-567-7271

Email JJ Part B

Contact a specific JJ Part B department



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