Provider Enrollment FAQ
 

1. What is Provider Enrollment?
2. Who can enroll using the DOL Online Provider Enrollment Process?
3. How do I update my current enrollment information?
4. How can I change my address, add/update EFT banking account information or enroll to with EDI (Electronic Data Interchange)
5. How do I add additional individuals to my DOL Provider number?
6. Can I fax my application for processing?
7. How long does it take to process an enrollment application completed online?
8. How do I contact the Provider Enrollment department for enrollment assistance?
9. The services that I provide are not listed.
10. Can each practitioner at our location enroll using the Practice’s Tax ID; yet receive their own DOL Provider number?
11. Why must I enroll using an EIN when enrolling my Group and not my SSN (social security number)?
12. Why am I required to enter license information for my medical group/practice?
13. My license expires in 30 days can I still enroll?
14. Why isn’t my billing office’s information accepted within the Practice Information fields?
15. Personnel are not always available to answer calls at the phone number where services are rendered. Am I still required to enter the phone number to the physical address?
16. Am I required to enroll in Electronic Funds Transfer (EFT) or Electronic Remittance Voucher (RV)?
17. I have submitted my online enrollment application, yet I didn’t receive a DOL Provider Number. Why?
18. I have submitted my Paper enrollment application, yet I didn’t receive a DOL Provider Number. Why?
19. How do I check the status of my Online or Paper enrollment?
20.Is the EIN/SSN the same as my DOL Provider Number?
21. Am I required to complete the Web Registration in order to enroll using this system?
22. What information is available once I register for the Web Portal?

1. What is Provider Enrollment?

a. Provider enrollment is the process in which you will receive your 9-digit ACS provider number for filing bills for services rendered to DOL claimants. To enroll with Department of Labor, Office of Workers’ Compensation (OWCP) programs FECA, Black Lung and Energy, a provider must complete and submit the Provider Enrollment application. The enrollment is complete once all applicable fields on the application are filled in correctly (practice name, practice address and phone number to the practice physical location, Tax ID number, valid license/certifications attached, copy of Medicare and NPI numbers attached-required for hospitals, EFT applications with voided check attached-required for Black Lung and Energy and all applications must be signed).

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2. Who can enroll using the DOL Online Provider Enrollment Process?

a. Providers who are enrolling for the first time can do so via the DOL Web portal. Enrollment Applications for the FECA, Black Lung and/or Energy programs can be submitted using this online resource.

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3. How do I update my current enrollment information?

Providers who have an active ACS provider number can update provider information by submitting a hard copy of the Provider Enrollment Application. Please use the provider enrollment application if you are changing your practice name, have a new Tax ID# or need to add new provider (s) to an existing group. You can download a hardcopy of the provider enrollment application via the DOL Web portal @http://owcp.dol.acs-inc.com.. The application can be found by clicking the ‘Forms & Links’ option on the web portal’s main page.

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4. How can I change my address, add/update EFT banking account information or enroll to with EDI (Electronic Data Interchange)

a. Providers can change their address, add/change EFT account information or enroll with EDI by submitting the proper form. The Change of address form, EFT application (submit with a voided check attached) or EDI enrollment form are to be submitted to the ACS Provider Enrollment Department. Please use the change of address form to notify ACS if your practice physical address, correspondence or remit address has changed. The EFT application is used when a provider wants to receive funds electronically or to change banking information on an existing account (EFT is mandatory for Black Lung and Energy programs). If you are a provider who wishes to submit claims through a billing agent, clearinghouse, or you are using vendor software, please complete and submit the EDI enrollment form. You can download a hardcopy of the forms via the DOL Web portal @http://owcp.dol.acs-inc.com. The forms are found by clicking the ‘Forms & Links’ option on the DOL Web portal’s main page.

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5. How do I add additional individuals to my DOL Provider number?

a. To ‘Add new member to an existing group’ download a hardcopy of the application, complete all required information then mail to one of the addresses below in FAQ 8 or fax to 888-444-5335 the Provider Enrollment Department. The application may be found by clicking the ‘Forms & Links’ option on the DOL Web portal @http://owcp.dol.acs-inc.com. Remember to include all required documents along with the application to avoid delays. (Update online feature is pending)

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6. Can I fax my application for processing?

a. YES. If you wish, you can download a hardcopy of the application via the DOL Web portal @ http://owcp.dol.acs-inc.com. The application may be found by clicking the ‘Forms & Links’ option on the web portal’s main page. Once the application is complete, you can fax to the Provider Enrollment dept @ 888-444-5335. Remember to include all required documents along with the application to avoid delays. The instructions on how to bill using the OWCP-1500, UB-04, UD-04 (Dental) and NCPDP (Pharmacy), Medical authorization forms, change of address form, EFT application as well as the EDI forms can be found at this link. If you are a provider enrolling for the first time, DOL online enrollment process is also available.

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7. How long does it take to process an enrollment application completed online?

a. The enrollment application process takes five (5) business days of receipt of a correctly completed application. Incomplete applications are returned for required information. Incomplete enrollment applications will be returned to the provider via mail outlining the specific reason why the application was return and what is needed to complete the application process. To avoid delays, please ensure that the application is complete and all required forms and/or attachments are submitted. See FAQ number 1 for explanation of a completed Enrollment Application.

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8. How do I contact the Provider Enrollment department for enrollment assistance?

FECA Enrollment
ACS Enrollment Unit
Department of Labor
PO Box 14600
Tallahassee FL 32317-4600
FECA Ph #: 850-558-1818
FECA Fax #: 888-444-5335

DEEOIC Enrollment
EEOICP Enrollment Unit
PO Box 13400
Tallahassee FL 32317-3400

DEEOIC Ph #: 866-272-2682
DEEOIC Fax #: 888-444-5335

DCMWC Enrollment
DOL DCMWC Enrollment Unit
PO Box 13200
Tallahassee FL 32317-3200

DCMWC Ph #: 800-638-7072
DCMWC Fax #: 888-444-5335

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9. The services that I provide are not listed.

a. You should select Provider Type: 96- other and provide an explanation of the services provided in the resulting ‘Explanation’ field. Additional analysis will be performed on your provider type to ensure the correct provider type is assigned.

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10. Can each practitioner at our location enroll using the Practice’s Tax ID; yet receive their own DOL Provider number?

a. NO. Only one (1) DOL provider number may be assigned for all individual providing services at that location. Therefore the practice should be enrolled as a Group with each practitioner being associated with the Group’s Provider number. However, if you need to enroll under this tax ID/EIN/SSN an explanation must be provided and a paper enrollment submission will be required via fax for the appropriate OWCP program. Currently Provider Enrollment does not issue multiple provider numbers to members in a group unless they are in a different location.

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11. Why must I enroll using an EIN when enrolling my Group and not my SSN (social security number)?

a. A group practice is required to use an EIN (Federal Tax ID #) when enrolling. Therefore may not enroll using an individual’s SSN. If you are an individual enrolling as an individual and don’t have a Tax ID/EIN the SSN maybe used.

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12. Why am I required to enter license information for my medical group/practice?

a. The license documentation (i.e., State License (s), Board Certification (s), and other medical certification (s)) is required stating that the practice, facility and/or individual group members are legally sanctioned to render services requested on the enrollment application.
b. For online enrollment, a copy of State License (s), Board Certification (s), and other medical certification (s) can also be uploaded, mailed (to one of the addresses in FAQ8) or faxed (888-444-5335) into the Provider Enrollment Department to complete the enrollment process.

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13. My license expires in 30 days can I still enroll?

a. YES. The system will initially accept the license/ certification that expires within 30 days, however the Provider will need to obtain more current information for submission to provider enrollment to avoid enrollment processing or bill payment delays.

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14. Why isn’t my billing office’s information accepted within the Practice Information fields?

a. To ensure proper processing of all information, only the physical address and phone number where services are being rendered may be entered in these fields. You may include all billing information within the Billing Address and phone number fields for proper routing. No PO Boxes will be accepted as the physical address.

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15. Personnel are not always available to answer calls at the phone number where services are rendered. Am I still required to enter the phone number to the physical address?

a. YES. The phone number where services are rendered will be verified to ensure that it coincides with the physical address entered. If the phone number to your billing office is entered for the phone number of physical location, it will only delay the enrollment process and/or require that the application be returned.

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16. Am I required to enroll in Electronic Funds Transfer (EFT) or Electronic Remittance Voucher (RV)?

a. Enrollment in EFT is required for the DCMWC and DEEOIC programs and therefore optional if enrolling in the FECA program only.
b. Enrollment in Electronic Remittance Voucher (RV) is Optional for all programs

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17. I have submitted my online enrollment application, yet I didn’t receive a DOL Provider Number. Why?

a. Upon review and receipt of all required information by the Provider Enrollment department, a paper welcome letter will be mailed within 5 business days notifying you of your DOL Provider Number. The welcome packets are forwarded to the correspondence address as indicated on the provider enrollment application. If no other address is indicated, then the welcome packet will be forwarded to the provider’s physical address.

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18. I have submitted my Paper enrollment application, yet I didn’t receive a DOL Provider Number. Why?

a. Upon review and receipt of all required information by the Provider Enrollment department, a paper welcome letter will be mailed within 5 business days notifying you of your DOL Provider Number. The welcome packet is forwarded to the correspondence address as indicated on the provider enrollment application of box 16a, 16b, 16c and 16d. If no other address is indicated in boxes 16a thru 16d, then the welcome packet will be forwarded to the provider’s physical address.

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19. How do I check the status of my Online or Paper enrollment?

a. You may check the status of your application by clicking on the “Provider Enrollment Status Inquiry” option on the DOL Web portal @ http://owcp.dol.acs-inc.com and entering the required information. The resulting screen will display your application status or indicate that no matching records were found. If no record is found then the application is still in process. You can also check the status using the IVR phone system @ 1-866-335-8319 or speak with an Enrollment Call Center @ 1-850-558-1818 Option 4 Option 2.

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20. Is the Tax ID/EIN/SSN the same as my DOL Provider Number?

a. NO. The provider number is NOT your Federal Tax ID/EIN/ SSN; it is a 9-digit number assigned to you by ACS the fiscal agent for the Department of Labor. If you are not sure what your Provider Number is, you can call Customer Service @ 850-558-1818 and speak to a customer service agent or use the IVR phone system @ 1-866-335-8319. The provider number can also be found on any Remittance Voucher (RV) you receive. It will be located on the top right of the report and will appear as Provider ID: xxxxxxx-xx (where ‘x’ is a numeric value).

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21. Am I required to complete the Web Registration in order to enroll using this system?

a. NO. Registration is not required in order to complete the enrollment process. Once you receive your ACS provider number, web registration is the process in which a provider can register their ACS 9 digit provider number to access online information. For your convenience, you can register your provider number via the DOL Web portal @ http://owcp.dol.acs-inc.com by clicking on any of the program links FECA, Black Lung (DCMWC) or Energy (DEEOIC). Once you click on one of the program links, this will take you to the DOL agreement page. On this page there is a panel on the left side of the screen that will display the Web Registration link. Click the link to display the page to register your ACS provider number. You can also contact the Web Portal Help Desk @ 1-800-461-7485. Once the Web registration is complete, a temporary password will be emailed to the email address provided.

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22. What information is available once I register for the Web Portal?

a. The following information is available once the Web Registration process is complete: Provider Enrollment Status Inquiry, Claimant Eligibility Inquiry, Bill Status Inquiry, Medical Authorization Inquiry, Payment Status Inquiry, Change Password, Entry of Medical Authorizations (FECA & DEEOIC programs).