Enroll in Electronic Claims Submission

Palmetto GBA encourages providers to submit their claims electronically and to utilize the electronic features we offer. You can also access certain claim and patient eligibility records and retrieve your remittance notices electronically. Claims may be filed to Palmetto GBA electronically (this applies to most Medicare providers) or on paper if certain conditions or exceptions exist (PDF).

For additional assistance, please review the EDI Enrollment Instruction Guide Module.

How Do I Enroll?
The fastest method is to enroll online using the EDI Online Enrollment tool. You can also enroll via fax or email by completing the PDF version of the EDI Enrollment forms. You will need to enter your Group PTAN, provider name and address to complete these forms. For more details, read the EDI Enrollment overview (PDF).

• Access eServices - complete an EDI Enrollment Agreement (PDF) with separate EDI Enrollment Agreement instructions (PDF)
• Submitting claims directly to Palmetto GBA and not using a clearinghouse - complete the Direct Submitter forms (PDF) with separate Direct Submitter forms instruction (PDF)
  • Select a Network Service Vendor (PDF) or an Approved Vendor (PDF)
• Using a Billing Service or a Clearinghouse to submit your claims - complete the Billing Service - Clearinghouse forms (PDF) with separate Billing Service-Clearinghouse forms instruction (PDF)
• Submit all forms and supporting documentation via one of the following methods:
  • Email: edienroll.partb@palmettogba.com
  • Fax: (803) 870–0164