What is eServices?

Published 03/03/2025

Answer
Palmetto GBA's eServices is a free, internet-based, provider self-service secure application. Palmetto GBA’s goal is to give the provider secure and fast access to their Medicare information seamlessly via our website through the eServices application.

The eServices application provides information access over the web for the following online services:

  • Eligibility
  • Claims Status
  • eClaim Submissions: available for Part B and Railroad Medicare providers
  • Clerical Error Claim Reopening Requests: available for Part B providers
  • Remittances Online
  • Financial Information: payment floor, last three checks paid, and overpayment data
  • Financial Forms: eOffset requests, eCheck payments, Extended Payment Schedule Request and CMS-838 Credit Balance form (Part A and HHH only)
  • Secure Forms: Appeals, Medical Review ADR Response form, Prior Authorization form for Scheduled Ambulance Transports (Part B only), Outpatient Prior Authorization for Services in Facilities (Part A only), Benefit Integrity Record Request form (Railroad Medicare only), Billing Dispute Resolution form (Part A and HHH only), Documentation Submission form (Part A only), and General Inquiry form
  • eDelivery
  • eReview: eCBR, eUtilization, eAudit, eRCD and eOPD
  • Additional Claims Documentation form: Available for JM Part B, JJ Part B and dental only
  • MBI (Medicare Beneficiary Identifier) Lookup
  • Review Choice Demonstration (RCD): Home health — available for providers in participating states and Inpatient Rehab Facility – available for providers in Alabama
  • Pre-Claim Review (PCR): Available for Home Health and Inpatient Rehab Facility providers who chose the PCR option during their RCD selection period
  • Roster Billing: Available for Part B and Railroad Medicare providers
  • ADR Status Dashboard: Available for Part B Users
  • Message Notification Center: for tracking official receipt and document control number of form submissions. For prior authorization related forms, the UTN and decisions are also added as the case is reviewed.
  • Accountable Care Organization (ACO): Program participant and model information

You can participate in eServices if you have a signed Electronic Data Interchange (EDI) Enrollment Agreement on file with Palmetto GBA and have payment amounts on file or an access code.

eServices will generally be available 24 hours a day, seven days a week. However, access to eServices does not guarantee that all functions will be available. Refer to the eServices User Manual (PDF) or the Support tab in eServices for specific availability information for each function.


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