Provider/Supplier Address Updates with CERT

Documentation Requests

  • All FIRST Additional Documentation Request (ADR) letters for CERT are sent to the address on file with the Provider Enrollment, Chain and Ownership System (PECOS) for the provider/supplier that billed/submitted the claim.
  • All SUBSEQUENT ADR letters can be sent to an alternate address. This can be provided to the CERT Customer Service Representative (CSR) by calling 888-779-7477.

The above processes are based on each individual CID; providers will need to contact the CERT office as mentioned above for each sampled claim.

For additional information on updating addresses, contact PECOS.

Chain Address Program

Providers who have at least five (5) PTAN/OSCAR numbers who would like to elect a single point of contact (POC) can participate in the "chain address" program. This program is as follows:

  • Call the CERT office (888-779-7477) or your local MAC CERT Coordinator with a list of PTAN/OSCAR numbers and the designated point of contact information.
  • To assure you supply the information to CERT within the 45 days, CERT will email/call the point of contact with a list of outstanding CID numbers.
    • Note: Due to the FIRST letter being sent to the provider address on file, these may be requests the point of contact has not yet received.
    • When requested, the CERT CSR will forward a copy of the letters not yet received.

Group Calls

In order to reduce provider burden, when multiple calls are due to the same phone number, the CERT RC groups the calls so that a single contact can be made with the provider (providers) associated with that phone number to discuss all outstanding requests.

 

Last Updated Aug 21 , 2023