Smart Edit pAP - Prior Authorization for Ambulance Beneficiaries with a Representative Payee

The Ambulance Prior Authorization program does not apply to beneficiaries who have a 'Legal Representative Payee' on file.

If you receive smart edit pAP and the beneficiary has a Legal Representative on file, please resubmit the claim in its original format and the claim will be forwarded to the MCS claims adjudication system for processing.

Contact Palmetto GBA JM Part B Medicare

Email Part B

Contact a specific JM Part B department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

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