PROMISe Fee Assignment: Check a Clinician’s Group Link
By George Ruan • October 7, 2026
Last reviewed: October 7, 2026.
To check whether a clinician is fee-assigned to your group in Pennsylvania Medicaid, sign in to PROMISe as the group and download the Fee Assignments extract from the Provider Enrollment Summary. Each row links a group provider ID to an individual provider ID, with fee assignment effective and end dates. If the clinician has no current row at that group service location, the group is not set up as payee for that clinician’s services there.
Sections
What Fee Assignment Means in PROMISe
Pennsylvania DHS’s provider enrollment FAQ explains the model. Individual practitioners enroll on their own, and group enrollments exist so those practitioners can assign their fees to a group they work with. The group is the payee, never the rendering provider. On a claim, the individual’s Medical Assistance number identifies who performed the service, and the group number identifies who gets paid. DHS also defines a group as practitioners of the same provider type.
PROMISe provider IDs are 13 digits: a 9-digit provider number plus a 4-digit service location. Fee assignments are tracked per group service location, so a clinician linked at one office is not automatically linked at another.
How to Check the Fee Assignment
Sign in to the PROMISe provider portal under the group’s enrollment, as the group or an authorized alternate.
Open the Provider Enrollment Summary.
Download the Fee Assignments extract. DHS says it lists every provider associated with the group service location in the last two years, with group provider ID, individual provider ID, NPI, revalidation date, provider type, fee assignment effective and end dates, name, and address.
Find the clinician’s individual provider ID. Check that the end date is blank or in the future and that the effective date covers the dates you plan to bill.
Download the Active Service Locations extract too, to confirm the group location itself is active.
When the “Group” Isn’t a Group
The most common surprise in our Pennsylvania work is a practice that has no group enrollment at all. These are the patterns we have run into:
The practice’s PROMISe number belongs to the owner. An owner who enrolled years ago may be enrolled as an individual under the business’s tax ID. The practice treats that number as its group number, but clinicians cannot be fee-assigned to it. In one case, DHS told us an individual enrollment cannot change ownership, so it had to be closed and replaced with a new enrollment.
A managed-care plan flags the missing group location. Practices often find out from a Medicaid managed-care plan that their group billing location is missing from the DHS provider file. The fix happens at DHS, not with the plan.
A new tax ID. DHS told us that a service location not yet enrolled needs a new enrollment application under the new tax ID. A Change of Ownership is only for a location already enrolled under a different tax ID.
Creating a group is a full enrollment. For psychologist groups, the DHS requirements (posted on the provider enrollment documents page) include a group application, a signed provider agreement, ownership and control disclosures, and a group member form with each member’s provider ID. They also require IRS documentation of the group’s legal name and FEIN, and a W-9 is not accepted. Clinicians generally need their own individual enrollment before they can be fee-assigned. An individual can still enroll without a group, so a missing group should not hold up a clinician’s own application.
DHS looks providers up by tax ID, not NPI. When we asked DHS to confirm a group’s status by NPI, it found nothing. Enrollment is keyed to the tax ID. Have the group’s tax ID and 13-digit provider ID ready before you call, and share them only through a secure channel.
Getting Answers From DHS
DHS told us it has no email address for enrollment status questions. Its enrollment application mailbox accepts forms only, and status questions sent there get a reply pointing back to the portal. If you cannot see the record in PROMISe, call the Provider Enrollment inquiry line listed in the DHS FAQ at 1-800-537-8862, weekdays 8 a.m. to 4:30 p.m. When you write to the ownership-change unit, expect an automatic reply asking you not to resubmit documents while they are reviewed.
A fee assignment in PROMISe does not put the clinician in any managed-care network. Each plan credentials separately. New enrollments start from the DHS PROMISe enrollment page.
Related: individual vs. organizational NPIs and changing your EIN with insurance companies. Bomi sorts out PROMISe group and service-location records as part of our credentialing service.
Frequently Asked Questions
Can I check a clinician’s PROMISe fee assignment with their NPI?
Not through DHS by email or NPI lookup. Use the group’s Fee Assignments extract in PROMISe, or call Provider Enrollment with the group’s provider ID and tax ID ready.
Why can’t I fee-assign a clinician to my practice?
Often because the practice has no group enrollment. The number it uses may be the owner’s individual enrollment. Check that a group service location exists before you troubleshoot the clinician’s record.
Does alternate access to PROMISe link a clinician to my group?
No. An alternate is a person who can work in a provider’s portal account. Fee assignment is an enrollment relationship between an individual practitioner and a group.
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