{"DID":"crit13d514","Sites":"JMB^JMHHH^Railroad Beneficiaries","Start Date":"05-23-2024 00:00","End Date":"05-27-2024 23:27","Content":"The Palmetto GBA Railroad Medicare Beneficiary Contact Center (BCC) will be closed on Monday, May 27, 2024, in observance of the Memorial Day holiday.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit34dea1","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"07-22-2024 08:25","End Date":"07-22-2024 08:30","Content":"Web chat is unavailable due to a system outage. We are working to resolve the issue and will remove this banner once the system is available.","URL":"","Target":"_self","Color":"red","Mode":"Standard\n","Priority":"yes"}, {"DID":"crit34eadc","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"06-03-2024 14:58","End Date":"06-07-2024 17:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Friday, June 7, 2024, for an 8-hour training.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit3d5e43","Sites":"JMB","Start Date":"03-11-2024 10:47","End Date":"04-18-2024 09:47","Content":"Join us for Spring Tour 2024: Columbia, S.C. on April 2, 2024, Bessemer, Ala. on April 8, 2024, Cleveland, Tenn. on April 10, 2024, Decatur, Ga. on April 11, 2024, Charleston, W. Va. on April 16, 2024, and Richmond, Va. on April 18, 2024. ","URL":"https://palmettogba.com/palmetto/jmb.nsf/DID/SY9IONT0ZJ","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit4b35ae","Sites":"JJB^JMB","Start Date":"07-26-2024 12:01","End Date":"07-30-2024 23:59","Content":"If you missed our Spring Tour, join us in Columbia, S.C. on July 30, to catch up on the most recent provider education from Palmetto GBA.","URL":"https://web.cvent.com/event/93f37ecc-9d69-4a33-b62b-cbd6232d9aff/summary","Target":"_blank","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit4e5c4e","Sites":"JJA^JMA^JMB^JMHHH^JJB","Start Date":"06-14-2024 14:06","End Date":"06-20-2024 06:07","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Wednesday, June 19, 2024, in observance of the Juneteenth holiday. Please note that the chat feature will not be available when the PCC is closed.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"crita42d51","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-31-2023 15:00","End Date":"09-04-2023 17:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, September 4, 2023, in observance of Labor Day.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critaa1545","Sites":"JMB","Start Date":"05-27-2024 00:00","End Date":"05-28-2024 23:27","Content":"Medicare Part B providers are invited to Palmetto GBA's MayFest virtual education event Thursday May 30, 2024.","URL":"https://palmettogba.com/palmetto/jmb.nsf/DIDC/8DRB9MA2C9~Events%20and%20Education","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critba251d","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"06-25-2024 15:12","End Date":"07-04-2024 22:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Thursday, July 4, 2024, in observance of Independence Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critcee21a","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"05-16-2024 11:07","End Date":"05-17-2024 13:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, May 17, 2024, for staff training.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"critdaa222","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"06-03-2024 13:45","End Date":"06-03-2024 14:00","Content":"eServices Messages and eDelivery tabs are currently unavailable. The portal will be briefly unavailable on 6/3/24, beginning at 1:40PM and ending at 1:50PM EST to correct this issue.","URL":"","Target":null,"Color":"red","Mode":"Standard\n","Priority":"no"}, {"DID":"critdc3d32","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"05-23-2024 00:00","End Date":"05-27-2024 23:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, May 27, 2024, in observance of Memorial Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critee34e3","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"07-23-2024 10:09","End Date":"07-26-2024 12:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, July 26, 2024, for staff training. Please note that the webchat feature will be unavailable at this time.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}

Influenza and Pneumococcal Roster Billing Packet and Forms

Published 06/17/2020

Roster billing is a simplified process used by mass immunizers. Palmetto GBA has prepared a packet for health care providers who mass immunize their patients against influenza and pneumonia. The packet contains instructions on how to submit claims using the roster billing method. Access a copy of this packet, as well as the forms, by selecting the link at the end of this article. Please share this information with appropriate members of your staff.

A PC-ACE Pro32 Software User's Manual has been created to provide you with information on Medicare’s courtesy software, PC-ACE Pro32, which allows for electronic roster billing. Medicare provides the software and technical support free of charge. A copy of this packet is located under EDI under Topics, then select "Software & Manuals."

Influenza_and_Pneumococcal_Roster_Billing_Packet.pdf (PDF)

Influenza-Pneumococcal_Roster_Forms-Part_B_with_ICD-10.pdf (PDF)

Influenza_Claim_Form_with_ICD-10.pdf (PDF)

Pneumococcal_Claim_Form_with_ICD-10.pdf (PDF)