Overview
The Centers for Medicare & Medicaid Services (CMS) has updated its Eligibility Enrollment processes effective mid-May. As part of this change, providers are now required to complete a provider attestation to access Medicare eligibility data via HETS (270/271 transactions).
CMS no longer accepts third-party enrollment submissions on behalf of providers. Attestation must be completed directly by the provider organization.
What This Means
- Each provider must attest for all applicable Group NPIs (Type 2) used for Medicare eligibility.
- Attestation confirms the authorized relationship with each trading partner.
- A separate attestation must be completed for each of Sohar’s two Trading Partner IDs: M73T and VQAS.
- Attestations must be completed by a PECOS-enrolled authorized or delegated official.
- This is now the required and fastest path to enable or maintain eligibility access.
Required Information
Prepare the following before starting:
- Group NPI(s) (Type 2)
- PTAN(s) (Provider Transaction Access Number)
- Trading Partner Details:
- Sohar Health Trading Partner ID: M73T
- Sohar clearinghouse partner Trading Partner ID: VQAS
- Authorized Signer Information
- Effective Date of Relationship (you may use today’s date)
Key Notes
- Separate attestations are required for M73T and VQAS.
- Both attestations must be completed for each applicable Tax ID (EIN), Group NPI (Type 2), and PTAN combination.
- Completing an attestation for one Trading Partner ID does not satisfy the requirement for the other.
- Rendering NPIs (individual) are not included.
- Each Trading Partner ID only needs to be attested once per applicable Tax ID, Group NPI, and PTAN combination, even across multiple states.
How to Complete the Attestations
Step 1: Identify Your MAC Jurisdiction
You must complete the attestations through your Medicare Administrative Contractor (MAC).
Common MACs include:
- Noridian (Jurisdictions E & F)
- NGS (Jurisdictions K & 6)
- Novitas (Jurisdictions H & L)
- Palmetto GBA (Jurisdictions J & M)
- WPS
- CGS
- First Coast
Step 2: Access the HETS EDI Enrollment or Attestation Portal
Navigate to your MAC’s HETS enrollment page and locate:
- “HETS EDI Enrollment”
- “Provider Attestation”
Step 3: Complete the Attestation Forms
You must submit two separate attestations for each applicable Tax ID, Group NPI, and PTAN combination.
First attestation: M73T
Provide:
- Organization or Group NPI(s)
- PTAN(s)
- Trading Partner ID: M73T
- Authorized official details
- Relationship effective date
Submit the form according to your MAC’s instructions.
Second attestation: VQAS
Repeat the attestation process using the same applicable:
- Organization or Group NPI(s)
- PTAN(s)
- Authorized official details
- Relationship effective date
For this second attestation, enter:
- Trading Partner ID: VQAS
Submit the second form according to your MAC’s instructions.
Both the M73T and VQAS attestations are required. Completing only one of the two attestations does not complete the Medicare eligibility setup process.
Step 4: Confirmation and Processing
- Processing times may vary by MAC.
- Completion of both attestations is required before Medicare eligibility access can be fully enabled or restored.
- Retain the confirmation or reference information provided for each submission.
- Notify your Sohar representative after both the M73T and VQAS attestations have been submitted.
Estimated Completion Time
- Approximately two minutes per NPI/PTAN combination for each attestation, if the required information is readily available.
- Because M73T and VQAS require separate submissions, plan to complete the process twice for each applicable combination.
Additional Resources
The CMS Attestation Resource Guide PDF is provided as an attachment below.
This guide includes:
- Direct links to each MAC’s attestation portal
- Jurisdiction lookup resources
- Additional enrollment instructions
Please contact Sohar Support if you encounter any questions or issues while completing either attestation.
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