Medicare Blog

for palmetto gba- medicare rr, what does co45 mean

by Bailee Prohaska Published 2 years ago Updated 1 year ago

What is Medicare RR?

The Medicare program covers railroad workers just like workers under social security. Railroad retirement payroll taxes include a Medicare hospital insurance tax just like social security payroll taxes.

What is the payer ID for Palmetto GBA?

11001PGBA previously used a Payer ID of 00380 to appear on electronic claim files submitted for processing. PGBA's new Payer ID of 11001 is required as of Monday, January 24, 2011.

What is the difference between RR Medicare and Medicare?

A: The only difference is that retired railroad beneficiaries have their Part B benefits administered by the Palmetto GBA Railroad Retirement Board Specialty Medicare Administrative Contractor (RRB SMAC) regardless of where they live. Members should be certain to advise providers of this when they receive treatment.

What is Palmetto GBA?

Based in Columbia, S.C., Palmetto GBA is a leading provider of technical and administrative services for the federal government. Its principal business is providing administrative services for the Medicare program. In addition to its headquarters in South Carolina, the company also has offices in Georgia.

What is Medicare payer ID number?

01112Medicare claim address, phone numbers, payor id – revised listStatePayer IDCaliforniaCA01112ColoradoCO04112ConnecticutCT13102DelawareDE1210246 more rows

What is the EDI number for railroad Medicare?

The packet contains forms and explanations for each of the services offered by our Electronic Data Interchange (EDI) department. For further information regarding any of this material, please call the Railroad Medicare Provider Contact Center at 888-355-9165.

Can I collect both railroad retirement and social security?

Answer: Yes, you can apply for and receive both benefits, but the Tier 1 portion of your Railroad Retirement Annuity will be reduced by the amount of your Social Security benefit, so you may not receive more in total benefits.

How do you bill railroad Medicare?

Getting Started With Railroad Medicare BillingStep 1: Ensure your enrollment information is correct with your local Part B Medicare Administrative Contractor (MAC) ... Step 2: Request a Railroad Medicare PTAN. ... Step 3: Receive your Railroad Medicare PTAN. ... Step 4: File Electronically. ... Step 5: Go Green — Electronic Remits.

What do railroad Medicare ID numbers look like?

Medicare Numbers have 11 characters and contain numbers and uppercase letters only. They do not contain the letters S, L, O, I, B or Z. Characters one, four, seven, 10 and 11 will always be a number.

Is Palmetto GBA the same as Medicare?

Palmetto GBA is the Railroad Retirement Board Specialty Medicare Administrative Contactor (RRB SMAC). We process Part B fee-for-service claims for Railroad Medicare beneficiaries nationwide.

What jurisdiction is Palmetto GBA?

Answer: Palmetto GBA is the MAC for Medicare services provided in Alabama, Georgia, North Carolina, South Carolina, Tennessee, Virginia and West Virginia.

How do I contact Palmetto GBA?

For inquiries regarding provider enrollment, please call the Provider Contact Center at 855–696–0705. For education, please complete the Education Request form. To access this document, go to the Forms web page at www.PalmettoGBA.com/hhh/forms. Provider inquiries, please call 855–696–0705.

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