1	How To Enroll/Register and Update Provider Information with ACS
2	Why Enroll? Enrollment/Registration is required to receive payment from OWCP for treatment of injured workers Registration process, not a PPI enrollment Provides you with your unique provider ID/number necessary for bill processing
3	Why Update Information? To provide current mailing information To provide current financial institution information if payments are received via Electronic Fund Transfer (EFT)
4	How to Enroll The Best/Fastest Way: Enroll is via the website at http://owcp.dol.acs-inc.com OR Call 850-558-1818 Select enrollment option Request provider packet
5	Help in Completing the Provider Enrollment Form Provider Enrollment Form Box: 1.If the provider is updating their current provider file the update box must be checked. 2. This information is not required. 3-7. The practice name & address (only a physical address is acceptable as the practice address) 8. The practice telephone number is required. 9. The practice fax is not required. 10. The practice type is required.
6	Help in Completing the Provider Enrollment Form Provider Enrollment Form Box: 11a. The numerical provider type is required. 11b.The provider type description is required. 11c. Explanation of services for provider type 96 & 53 12. Tax id or SSN is required 13. Medicare number is required for all Acute medical hospitals. 14a,b,c,d,e. The individual provider license/certification information is required for all M.D&DO. 15. Not required.
7	Help in Completing the Provider Enrollment Form Provider Enrollment Form Box: 16a,b,c,d. Billing/Remit address is required if applicable. 17. Is required for DCMWC (Black Lung) & DEEIOC (Energy). Optional for FECA 18. Is not required this is a request by the provider to submit bills electronically Signature & Date is Required.
8	Since The Fastest Way to Receive Payment is via EFT Select EFT on the provider application form Submit a completed EFT form
9	How to Update Provider Information Submit address changes online at http://owcp.dol.acs-inc.com Mail completed address change request or form to: PO Box 14600 Tallahassee, Fl. 32317-4600 Tax ID number (TIN) changes must be submitted via mail. Identify old TIN to be terminated and new TIN Submit a copy of your license