Glossary
Medicare Enrollment
The process of enrolling a provider so they can bill and be reimbursed by Medicare, completed through PECOS.
Medicare enrollment is the federal process that grants a provider or organization the authority to bill the Medicare program and receive reimbursement for covered services. It is typically completed through PECOS and is separate from commercial payer enrollment, with its own forms, screening levels, and processing timelines. Once enrolled, providers must keep their information current and complete periodic revalidation to retain billing privileges.