This inquiry tool can be used to check on the status of your CMS-855 Enrollment Application.

Screening: The application is being reviewed for signatures, missing sections/documents.

Processing: Information on the application is being verified or request for additional information is in progress.

You will receive a detailed letter from NHIC in the near future for each of these statuses:

• Approved
• Denied
• Rejected
• Returned

How to Search:
Individual Application: Type in your last name and first name
Group Application: Type in your Group Name

Note: The search results will be limited to the last six months of application activity. For any information beyond this timeframe, please contact NHIC J14 Provider Enrollment Help Line - Toll Free Number (888) 300-9612

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04/16/2012