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Video instructions and help with filling out and completing Who Form 8815 Enrolled

Instructions and Help about Who Form 8815 Enrolled

Hello and welcome to one of our Pecos demonstrations in this demonstration we will be walking you through one example of submitting an organization application in Pecos the example I'll be showing you here today demonstrates a user submitting an application for a group clinic called primary health clinic so if the organization you are submitting on behalf of is not a group clinic please keep in mind that the steps for beginning and completing your application will be very similar to what we'll be showing here and we'll have many of the same screens in order to actually begin this application we'll have to log into the Pecos homepage to obtain your login credentials and find other helpful information regarding Medicare and the application process please visit the Pecos home home page now I'm going to log in and begin the application process entering user ID and password selected login button first you have to select the my enrollments button located on the left hand side of the screen you'll then be able to select the new application button located over here on the left you'll then be brought to the applicant identification page on this screen you'll be shown your employer information as a label and any organizations that you have access to submit applications on behalf presenter selects the provider and then selects the next page button on this screen you will need to indicate the state in which the organization that you are submitting on behalf of provides health care services in this example primary health clinic prservices in California so that's what we'll select here presenter selects the state and selects next page on this page you are being prompted to indicate whether or not the organization you are submitting the enrollment for is the...