Fax Number, Address, and Correct Format for Submitting Redeterminations


Providers who send appeal requests (redeterminations) and medical records on compact disks (CDs) or digital video disks (DVDs) to Palmetto GBA must use the correct file format. Appeal requests, redeterminations and medical records must be saved on a CD/DVD in a portable document format (PDF) or tagged Image file format (TIFF).

Helpful Tips to Ensure Successful Submission of CDs/DVDs

  • Preferred file formats: PDF or TIFF
  • Do not send an executable file (.exe) or include an .exe program with the PDF or TIFF file
  • SecureZip: be sure the file is zipped using the FIPS 140 encryption algorithm
  • Spreadsheets in Excel should be converted to PDF
  • Email password to DiskInfo@palmettogba.com
  • Do not password-protect files on Adobe Security feature (separate from password protect on disk) unless you provide the password (locking will prevent us from being able to save or print the file to prep for upload into Iflow)

If you are sending this information to a specific department, please check the Part A Contact Us section or the HHH Contact Us section of the Palmetto GBA website for that department’s mailing address.

Fax Numbers and Mailing Addresses
Part A providers now have the option to submit their requests for redeterminations and supporting documentation via fax to the number below. Providers who do not wish to fax their request(s) for redeterminations may continue to mail them to:

Jurisdiction J Part A
Jurisdiction M Part A
Home Health and Hospice
Palmetto GBA
Part A JJ Appeals
Mail Code: AG-630
P.O. Box 100305
Columbia, SC 29202–3305
 
Fax: (803) 870–0138
Palmetto GBA
Part A Appeals
Mail Code: AG-630
P.O. Box 100238
Columbia, SC 29202-3238
 
Fax: (803) 699–2425
Palmetto GBA
HHH Appeals
Mail Code: AG-630
P.O. Box 100238
Columbia, SC 29202-3238
 
Fax: (803) 699–2425




Last Updated: 02/06/2021