# Healthcare value-add: "no logins required" — verified third-party submission paths

Researched against the CMS-855I PDF (05/23), the NPPES/NPI Enumerator process, and
the public OIG/SAM databases. This is the HONEST capability map for the cold-email
pitch: many providers struggle with PECOS/NPPES/I&A logins (forgotten passwords,
identity-proofing, multi-factor, "the system won't let me in"). For most of what we
sell, **the provider never needs to log in** — we prepare the paperwork, they sign a
single paper form (or e-sign), and we file it by mail or as the preparer.

## What we CAN do without the provider's online login

| Service | Paper/no-login path | Provider's only job | Verified source |
|---|---|---|---|
| **Medicare PECOS Revalidation** | CMS-855I/855B/855A **paper** application mailed to the provider's **MAC** (revalidation is a checkbox reason in Section 1A). | **Sign** the form (wet/original signature). We prepare 100% of it. | CMS-855I: "submit your application with **original signatures**… to your designated MAC… by mail." |
| **NPPES / NPI data update** (address, taxonomy, contact) | **CMS-10114** paper NPI Application/Update mailed to the **NPI Enumerator, PO Box 6059, Fargo, ND 58108-6059**; Enumerator staff key it into NPPES. | Sign the paper form. **No NPPES/I&A login at all.** | NPI Enumerator paper process (PO Box 6059, Fargo ND; 800-465-3203). |
| **NPI Reactivation / enrollment reactivation** | Same paper-855 path to the MAC (reactivation is a Section 1A reason). | Sign. | CMS-855 instructions. |
| **Medicare Enrollment (new)** | Paper CMS-855I/855B to the MAC with original signature. | Sign + provide info. | CMS-855I. |
| **OIG / SAM Exclusion Screening** | We screen against the **public** OIG LEIE + SAM.gov databases by name/NPI. | **Nothing — zero provider involvement.** No login, no signature. | OIG LEIE + SAM.gov are public federal databases. |

## The ONE honesty caveat (don't overclaim)
- CMS-855I Section 15: **"As an individual practitioner, you are the only person who can
  sign this application. The authority to sign… may not be delegated."** So the
  provider must personally **sign** the enrollment/revalidation form — but that's a
  pen on paper we hand them, NOT a login. A third party CANNOT sign the 855 for them,
  and CANNOT impersonate them in PECOS. Our value is removing the *computer/login*
  burden, not the signature.
- For group/org filings (855B/855A), an **Authorized or Delegated Official** signs —
  again on paper, no login needed.
- We never need their PECOS/NPPES password. We prepare, they sign, we mail/track.

## The pitch (why this matters to them)
Providers routinely get stuck on: forgotten I&A passwords, identity-proofing
failures, MFA to a phone they changed, "PECOS is down / won't load," and the sheer
time of navigating CMS portals. Our differentiator:

> **You don't need to log in to anything.** We fill out the official CMS forms for
> you, send you one to sign, and mail it to the right place — or file it for you as
> your preparer. No PECOS password. No NPPES login. No fighting the government
> website. (For exclusion screening you don't even sign — we just do it.)

## Mailing destinations (for credibility in copy)
- NPI/NPPES paper: **NPI Enumerator, PO Box 6059, Fargo, ND 58108-6059**
- 855 enrollment/revalidation: the provider's **MAC** (varies by state/jurisdiction;
  we determine and route it).

## MESSAGING RULE (important)
In the cold email we sell the **relief**, never the **mechanics**. Do NOT mention
paper forms, the MAC, the NPI Enumerator, CMS-855/CMS-10114, or "we mail it" — that's
our method and competitors shouldn't see it. The email only says what the provider
does NOT have to deal with:
  "No logins. No portals. No headaches. You don't need a PECOS password, identity
   verification, the government website, or to sit on hold with Medicare. We do the
   work; all you do is say yes."
The signature requirement is handled at onboarding, not advertised in the cold email.
