New Accelerated/Advance Payment Request Form
CMS has provided a standard form for requesting accelerated or advance payments, which can be found on the Noridian COVID-19 web pages and on the Forms web page within the Overpayment and Recoupment section.
We encourage providers to use this new form as it contains all the information needed on one page. The new form also allows for submission of multiple PTAN/NPI requests in certain cases to speed up the request process. See the form for instructions and more details.
If you have questions on completion of the forms or the process, call the COVID-19 hotline at 866-575-4067 Monday-Friday from 8 a.m.-6 p.m. CDT.
Last Updated Apr 07, 2020