Palmetto GBA
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  • J11 HHH
  • JM Part A
  • JM Part B
  • J1 Part A
  • J1 Part B
  • NSC
  • Railroad Beneficiaries
  • Railroad Providers
  • J11 HHH
  • JM Part A
  • JM Part B
  • J1 Part A
  • J1 Part B
  • NSC
  • Railroad Beneficiaries
  • Railroad Providers

 

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The site will be unavailable for roughly eight hours while we upgrade the site. This transition will begin tomorrow morning, Saturday December 5th.

Auxilary Aids & Services

For information about the availability of auxiliary aids and services, please visit: http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html

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Eligibility

Use Palmetto GBA’s eServices tool to access beneficiary eligibility information, including the effective date of a patient’s Medicare benefits such as hospice enrollment and whether the patient is enrolled in fee-for-service (original) Medicare or a Medicare Advantage plan.

All providers that have an Electronic Data Interchange (EDI) Enrollment Agreement on file may register to use this tool. Simply access the introductory article to learn more by clicking on the ‘Introducing eServices’ graphic on the top of any of our main contract home pages. Beneficiary eligibility information begins on Page 18 of the eServices User Manual (PDF, 3.26 MB). Information regarding hospice enrollment is available on Pages 32 through 33. 

One Important Consideration
Only one provider administrator per EDI Enrollment Agreement/PTAN/NPI combination performs the registration process. Billing services and clearinghouses should contact their provider clients to gain access to the system.

Palmetto GBA providers can also access Medicare patient eligibility information by phone through our Interactive Voice Response (IVR) system, as well as through the ANSI 270/271 transaction. Some providers can directly access their shared processing system using Direct Data Entry (DDE) or Professional Provider Telecommunications Network (PPTN) systems to retrieve eligibility information. Available options are listed below for each contract:

Home Health and Hospice

Part A

Part B

Railroad Medicare

 

last updated on 02/02/2016
ver 1.0.24