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Published Date: 1/20/2015
Printed Date: 9/22/2015
URL: http://palmgba.com/marlowe/redesign6/article.html
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Appeals & Redeterminations Claims Electronic Data Interchange (EDI) eServices Medical Record Requests and Responses Financial Correspondence Fraud Freedom of Information Act (FOIA) Coordinator Medicare Secondary Payer (MSP) Provider Contact Center (PCC) Provider Enrollment Provider Outreach and Education (POE) Review Contractor Additional Questions Feedback to the CMS Website Feedback
Register to receive emails from Palmetto GBA about the latest Medicare news, products and services, special events and more. Provider Outreach and Education For education, please fill out the Provider Outreach and Education Request form. Department Specific Mailing Addresses: Department Mailing Address Appeals; Redeterminations (first-level appeals) Palmetto GBA Part B MAC P.O. Box 100190 Columbia, SC 29202-3190 Fax: (803) 699-2427 Claims: All paper claims (including Medicare Secondary Payer (MSP) claims) Palmetto GBA Mail Code: AG-600 P.O. Box 100190 Columbia, SC 29202-3190 Electronic Data Interchange (EDI) EDI enrollment and other EDI-related issues Administrative Simplification and Compliance Act (ASCA) Electronic remittance advice (ERA) Medicare Remit Easy Print (MREP) PC-Ace Pro 32 (billing software) EDI tests Provider Contact Center: 855-696-0705 Email: Medicare.edi@palmettogba.com Automated Documentation Requests Responses to our requests for information Palmetto GBA Mail Code: AG-600 P.O. Box 100190 Columbia, SC 29202-3190 Fed Ex/UPS/Overnight Courier Palmetto GBA Mail Code: AG-230 2300 Springdale Drive, Building One Camden, SC 29020 Fax: (803) 699-2434 Medical Record Requests and Responses Palmetto GBA Mail Code: AG-230 P.O. Box 100190 Columbia, SC 29202-3190 General Inquiries General coverage and Medicare-related questions Crossover questions Questions regarding claim filing requirements Explanation of denial reasons IVR resources Medicare Secondary Payer (MSP) resources Modifier guidelines Medical record documentation questions Palmetto GBA Mail Code: GM-215 P.O. Box 100190 Columbia, SC 29202-3190 Fax: (803) 699-3582 Financial correspondence with/without checks Palmetto GBA - Part B Finance & Accounting PO Box 100246 Columbia, SC 29202 Fraud (To report suspected fraud) Palmetto GBA Mail Code: GM-215 P.O. Box 100238 Columbia, SC 29202-3238 Freedom of Information Act (FOIA) Coordinator All requests must contain your complete signature Requests for Medicare guidelines or coverage issues Requests for hardcopy (paper) fee schedule information Medicare pricing for services not included in the fee schedules Palmetto GBA FOIA Coordinator AG-840 P.O. Box 100190 Columbia, SC 29202-3190 Email: FOIA@PalmettoGBA.com Medicare Secondary Payer (MSP) reviews and correspondence Receipt of two primary payments How to update a beneficiary’s primary/secondary record Palmetto GBA KA-100 P.O. Box 100238 Columbia, SC 29202-3238 Provider Enrollment Enrollment (credentialing) questions Request CMS-855 B, I or R forms Change address, add a location or add a new member to a provider group Independent Diagnostic Testing Facility (IDTF) enrollment Electronic Funds Transfer (EFT) CMS 588 form Medicare Participating Physician or Supplier Agreement (PAR) CMS 460 form How to obtain a National Provider Identifier (NPI) Participation corrections IRS 1099 tax form corrections Consent forms Palmetto GBA Mail Code: AG-310 P.O. Box 100190 Columbia, SC 29202-3190 Fed Ex/UPS/Overnight Courier Palmetto GBA Mail Code: AG-310 2300 Springdale Drive Building One Camden, SC 29020-1728 Provider Inquiries 855-696-0705 (Monday-Friday, 8 a.m. - 4:30 p.m. ET) Provider Contact Center (PCC) Call the PCC for issues related to claims, billing, eligibility, provider education and other provider issues Please see the following links for more guidance about contacting the Part B IVR and Call Center: IVR Flowchart (PDF, 74 KB) Call Flowchart (PDF, 95 KB) IVR Conversion Tool Telephone corrections Call this line for a claim correction ('telephone reopenings') Note: Restrictions apply Electronic Data Interchange Technical assistance with electronic billing, electronic remittance advice (ERA) and other EDI issues eServices Eligibility Claims Status eClaim Submissions Clerical Error Claim Reopening Requests Remittances Financial Information (payment floor, last three checks paid, eOffset requests, and eCheck payments) Appeals Provider Enrollment Assistance with provider enrollment, including completion of CMS-855 applications. Are you seeking Review Contractor information? This interactive map will show you the name and contact information for all review contractors by your state. This includes Unified Program Integrity Contractors (UPICs), Comprehensive Error Rate Testing (CERT) Contractor, Supplemental Medical Review Contractor (SMRC), Medicare Administrative Contractors (MACs) and Recovery Audit Contractors (RACs). Email Contacts: Email Palmetto GBA with your questions. Choose the topic that best describes your inquiry and send us your question. Please do not include any Protected Health Information. Note: We respond to inquiries in the order in which we receive them. Please allow us time to research your question in order to provide you with the best possible service. Beneficiary Inquiries All questions related to the Medicare program. 24 hours/7 days a week 1-800-MEDICARE (800-633-4227) Still have additional questions? You can find direct answers to your technical questions by visiting our Site Help page For help with technical problems using your computer on this website, email Palmetto GBA's Technical Assistance Feedback to the Centers for Medicare & Medicaid Services (CMS) If you would like to send any feedback to CMS regarding your experiences with Palmetto GBA, please direct your comments to: Attn: POE Coordinator CMS Division of Financial Management & Fee-for-Services Operations 61 Forsyth St. SW, STE 4T20 Atlanta, GA 30303-8909 Email: ROATLFM@CMS.HHS.GOV Website Feedback Do you have website feedback? Contact our Webmaster.
Department Specific Mailing Addresses:
Appeals; Redeterminations (first-level appeals)
Medicare.edi@palmettogba.com
Automated Documentation Requests Responses to our requests for information
Medical Record Requests and Responses
Financial correspondence with/without checks
PO Box 100246
Columbia, SC 29202
Provider Inquiries 855-696-0705 (Monday-Friday, 8 a.m. - 4:30 p.m. ET)
eServices
Provider Enrollment
Are you seeking Review Contractor information? This interactive map will show you the name and contact information for all review contractors by your state. This includes Unified Program Integrity Contractors (UPICs), Comprehensive Error Rate Testing (CERT) Contractor, Supplemental Medical Review Contractor (SMRC), Medicare Administrative Contractors (MACs) and Recovery Audit Contractors (RACs).
Email Contacts: Email Palmetto GBA with your questions. Choose the topic that best describes your inquiry and send us your question. Please do not include any Protected Health Information. Note: We respond to inquiries in the order in which we receive them. Please allow us time to research your question in order to provide you with the best possible service.
Note: We respond to inquiries in the order in which we receive them. Please allow us time to research your question in order to provide you with the best possible service.
Beneficiary Inquiries All questions related to the Medicare program. 24 hours/7 days a week
1-800-MEDICARE (800-633-4227) Still have additional questions?
Still have additional questions?
You can find direct answers to your technical questions by visiting our Site Help page
Feedback to the Centers for Medicare & Medicaid Services (CMS) If you would like to send any feedback to CMS regarding your experiences with Palmetto GBA, please direct your comments to:
Attn: POE Coordinator CMS Division of Financial Management & Fee-for-Services Operations 61 Forsyth St. SW, STE 4T20 Atlanta, GA 30303-8909 Email: ROATLFM@CMS.HHS.GOV
Website Feedback Do you have website feedback? Contact our Webmaster.
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Last Updated: 11/01/2019
Applies to:
Article Topics: Appeals, Redeterminations, and PTANs