how to enter ptan for railroad medicare

by Cory Raynor DDS Published 2 years ago Updated 1 year ago

To request a new Railroad Medicare PTAN for an individual provider or supplier (physician, nonphysician practitioner, ambulance, laboratory, ambulatory surgical center, etc.), enter the following:

PTAN assigned to the provider or supplier by the local Part B MAC
NPI linked to the PTAN the request is for
Last five digits of Tax Identification Number (TIN)

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How to enter the provider's PTAN:

If the PTAN is the individual number and begins with a 'P', then the provider would key *71 followed by the other numeric characters.
If the PTAN is the group number and begins with 'CM', then the provider would key *23 *61 followed by the other numeric characters.

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Mar 29, 2018

Full Answer

How to bill Medicare Railroad claims?

Sep 30, 2020 · Using Railroad Medicare's Online PTAN Lookup and Request Tool. Providers can now obtain their existing Railroad Medicare Provider Transaction Access Number (PTAN) or request a new Railroad Medicare PTAN through our PTAN Lookup and Request Tool. This tool replaces the "Request for Railroad Medicare PTAN for Electronic Submitters" form.

Do you need a Medicare ptan?

Apr 27, 2022 · To request a new Railroad Medicare PTAN for an individual provider or supplier (physician, nonphysician practitioner, ambulance, laboratory, ambulatory surgical center, etc.), enter the following: PTAN assigned to the provider or supplier by the local Part B MAC NPI linked to the PTAN the request is ...

What is the phone number for railroad Medicare?

Once the provider(s) has a pending claim(s), they may complete the Request for Railroad Medicare PTAN form or they may call (1 – 888-355-9165 Updated phone #) to make a telephone request for a Railroad Medicare PTAN. Please be prepared to provide the provider’s Legal Business Name, NPI, organizational/group NPI, complete name, tax identification number (TIN), …

How do I look up a ptan number?

Mar 02, 2021 · Enroll in Railroad Medicare. The first step in becoming a Railroad Medicare provider is to request and receive a Railroad Medicare Provider Transaction Access Number (PTAN). You will need a separate PTAN for Railroad Medicare because we are a different jurisdiction from your local Part B Medicare Administrative Contractor (MAC).

Is Ptan same for Medicare and Railroad Medicare?

No, third-party billers and clearinghouses cannot request a provider's Railroad Medicare PTAN. A Provider Transaction Access Number (PTAN) can only be requested by the provider or a provider representative directly employed by the provider.Mar 28, 2022

How do I bill Railroad Medicare claims?

Getting Started With Railroad Medicare Billing

Step 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.

Sep 30, 2020

What is Railroad Medicare Ptan?

This tool allows you to access your existing Railroad Medicare Provider Transaction Access Number(PTAN). If you are new to Railroad Medicare, you can also request a PTAN if you are already enrolled with your local Medicare Administrative Contractor (A/B MAC) and have a Railroad Medicare claim to submit.

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.Jul 15, 2019

How do I check my Railroad Medicare claims?

If you'd like to use the IVR, you can do so by calling 800–833–4455. From the main menu, press one (1) for claim status. You will need your Railroad Medicare number, date of birth, name, and date of service for the claim you are searching for. Claim status is available Monday thru Friday from 7 a.m. through 11 p.m. ET.Mar 29, 2022

What is timely filing for Medicare corrected claims?

12 months

Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided. If a claim isn't filed within this time limit, Medicare can't pay its share.

How do I add a practice place to Medicare?

If you have previously enrolled in Medicare as a sole owner, you can select the existing practitioner enrollment from the My Enrollments page. Select Change of Information and then select Yes that you are changing the physical location.

Is Railroad Medicare a Medicare Advantage Plan?

Yes, Railroad Medicare beneficiaries can choose to enroll in Medicare Advantage plans.Mar 28, 2022

Does Railroad Medicare require prior authorization?

Prior authorization may be required for Part B services provided to Railroad Medicare patients when the claim for the service will be billed to and processed by another Medicare Administrative Contractor.

Where do I find my Medicare Beneficiary Identification Code?

Where is this number located? This number is located on your Medicare card. It is also on most of the documentation you receive from Medicare or the Social Security Administration. Alternatively, you can also visit your local Social Security Administration office or call Social Security to get your number.

Where do I find my RRB claim number?

*RRB Claim numbers can be found in block 1 on your 1099/1099R tax statements. They can also be found on your application for retirement or survivor benefits.

What is an RRB number?

The Railroad Board (RRB) identifies its employees and retirees with claim numbers that consist of letter prefixes followed by either six or nine numeric digits.

Step 1: Ensure your Part B MAC enrollment information is correct

Because Railroad Medicare’s enrollment records will match what your local Part B MAC has on file, please make sure your enrollment information is current with your MAC before requesting a Railroad Medicare PTAN.

Step 2: Request a Railroad Medicare PTAN

Request a PTAN using the Railroad Medicare PTAN Lookup and Request Tool at www.palmettogba.com/RR/PTAN. The PTAN Tool will assign and release most new PTANs the day they are requested. Some requests may require research and you will be advised to allow 30 calendar days for processing and return to the tool to retrieve your PTAN information.

Step 3: Receive your Railroad Medicare PTAN

After we authenticate your information with the local MAC’s provider enrollment file, we will send you a letter detailing your Railroad Medicare PTAN data. If you requested your PTAN via the Railroad Medicare PTAN Lookup and Request Tool, you can also access your new PTAN through the tool and download a PDF file with your PTAN details.

What is a PTAN number?

A PTAN is a Medicare-only number issued to providers by Medicare Administrative Contractors (MACs) upon enrollment to Medicare. MACs issue an approval/notification letter, including PTAN information, when an enrollment is approved. While only the National Provider Identifier (NPI) is submitted on claims, the PTAN is a critical number directly ...

What is the relationship between PTAN and NPI?

While only the National Provider Identifier (NPI) is submitted on claims, the PTAN is a critical number directly linked to a provider or supplier's NPI. A PTAN's use should generally be limited to a provider's communication with their MAC. Multiple PTANs for Different Practice Locations May be Appropriate.

When is a PTAN deactivated?

The deactivation process occurs every month. A provider's PTAN is deactivated when he or she has not billed the Medicare program for four consecutive quarters. A PTAN is given an end-date when it is deactivated, meaning claims can get submitted prior to the end-date within a year of the service date. Find my PTAN.

When is a provider's PTAN deactivated?

A provider's PTAN is deactivated when he or she has not billed the Medicare program for four consecutive quarters. A PTAN is given an end-date when it is deactivated, meaning claims can get submitted prior to the end-date within a year of the service date. There are two options to find a provider PTAN.

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