How to Use Provider Revalidation

The Revalidation link on the Quick Links pod is used to submit the application for all providers that are on due for revalidation.You can view and edit the information of group and individual provider in the Revalidation page.

To submit a revalidation request

1. On the Quick Links pod, click Revalidation.

Tip: If you are a provider who already has started or submitted the application for revalidation, this link is disabled.

2. On the Revalidation Instruction page, do one of the following:
   • To view and edit the revalidation request, click Start Revalidation.
   • To go back to the home page, click Cancel.

3. On the Revalidation pod, click the following fields and provide the appropriate information:
   • Demographic
   • License/Specialty
   • Financial
   • Medicare
   • Identifier
   • Exclusion/Sanction
   • Ownership Information
     • Individual Ownership

       Note: If you are a Non-Billing ORP or Non-Billing Rendering provider, this option will not be available.

     • Group Ownership
   • Authorized Representatives
   • Authorized Validator
   • Signature
4. Do one of the following:
   • To save your entries, click Save.

Note: If you click the Save button or link of the Provider Application page, all the entries are saved and a success message is displayed. If you click the Save link for a field set, the entries are temporarily stored in the session until a page save occurs.

• To cancel your entries, click Cancel.
• To reset your entries, click Reset

5. To submit the revalidation application, on the Revalidation pod, click Reval Confirmation.
6. In the Confirm Submit section, click Confirm Submit. A confirmation message is displayed.
7. Do one of the following:
   • To print the application, click Print Application.
   • To return to the home page, click Exit Application.

See Also