How does Provider Validation work on the Enrollments page?

Pending Approval

When a provider record requires additional approval, a "Pending Approval" indicator will appear on the provider enrollment screen (see screenshots below). This means a verification request has been initiated, and an automated phone verification message will be sent to the contact information on file with NPPES. The designated contact must confirm or decline the request to proceed.

The approval request is sent to the provider’s registered contact in the NPPES database. It is important to ensure that this contact information is up-to-date and that someone is available to respond. If the approval is confirmed, the enrollment process will continue, and the necessary documents will be processed and submitted. Until the approval is received, the enrollment will remain in a pending state.

If the group NPI is listed first and all NPIs share the same tax ID, the robocaller will contact the group’s authorized official only once. If NPIs have different tax IDs, each will receive a separate call. To avoid multiple calls, it is highly recommended to list the group NPI first.

New Provider Validation Features

Some new buttons are available on the Edit Provider screen to validate via phone:

• Refresh Icon: This feature queries NPPES for an updated phone number in real time.  
• Call Now Button: Allows users to request an immediate phone call instead of waiting for the next automated attempt.