- Log into Internet-based PECOS
- Select "My Associates" on PECOS home page
- Select "View Enrollments" by applicable individual or organizational enrollment
- Click on "View Medicare ID Report"
- PTAN or PTANs are listed in Medicare ID column
- Log into Internet-based.
- Select "My Associates" on.
- Select "View Enrollments" by applicable individual or organizational enrollment.
- Click on "View Medicare ID Report"
- PTAN or PTAN s are listed in Medicare ID column.
How to find Medicare ptan number?
· To look up an existing 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 individual provider or supplier by the local Part B MAC Individual NPI Last five digits of Tax Identification Number (TIN)*
How do I look up a ptan number?
· 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.
How do you find a ptan number?
· Provider Transaction Access Number (PTAN) Log into Internet-based PECOS. Select "My Associates" on PECOS home page. Select "View Enrollments" by applicable individual or organizational enrollment. Click on "View Medicare ID Report". PTAN or PTANs are listed in Medicare ID column Last Updated Wed, 04 ...
Do you need a Medicare ptan?
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), …
Where can I find my Railroad Medicare Ptan?
This tool replaces the "Request for Railroad Medicare PTAN for Electronic Submitters" form. You can access the tool at www.PalmettoGBA.com/RR/PTAN.
How do I verify my Medicare RR?
To find out if you qualify, contact your State medical assistance (Medicaid) office. You can get the number for your State by dialing 1-800-MEDICARE (1-800-633-4227) and asking for information about the Medicare Savings Program.
What is a railroad Ptan?
This tool allows you to access your existing Provider Transaction Access Number (PTAN) or to request a new PTAN. If you are new to Railroad Medicare, you can request a PTAN if you are already enrolled with your local Medicare Administrative Contractor (MAC) and have a claim to submit for a Railroad Medicare patient.
How do I find 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.
How do I verify Ptan?
Log into Internet-based.Select "My Associates" on.Select "View Enrollments" by applicable individual or organizational enrollment.Click on "View Medicare ID Report"PTAN or PTAN s are listed in Medicare ID column.
What does a Medicare Ptan number look like?
The Provider Transaction Access Number (PTAN) is a Medicare-issued number given to providers upon enrollment with Medicare. This number is usually six digits and is assigned based on the type of service and the location of the provider.
What is Palmetto GBA Railroad 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.
Is railroad Medicare the same as regular 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 a Ptan number?
Provider Transaction Access Number (PTAN) A PTAN is a Medicare-only number issued to providers by MACs upon enrollment to Medicare. When a MAC approves enrollment and issues an approval letter, the letter will contain the PTAN assigned to the provider.
Is railroad Medicare an Advantage plan?
Yes, Railroad Medicare beneficiaries can choose to enroll in Medicare Advantage plans.
How to request a PTAN from Railroad?
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), and billing and practice address information.
When was the change request 3440 implemented?
FOR ELECTRONIC SUBMITTERS Effective July 1, 2005, Change Request 3440 was implemented. This Change Request mandates that all providers submit claims electronically. Only providers that have been granted a waiver or meet exception qualifications are excluded.
What is a PTAN number?
The Provider Transaction Access Number (PTAN) is a Medicare-issued number given to providers upon enrollment with Medicare. This number is usually six digits and is assigned based on the type of service and the location of the provider. Upon enrollment, Medicare Administrating Contracting ( MAC) providers should receive their assigned PTAN number in their approval letter.
Why is it important to use PTAN and NPI numbers?
Because Medicare’s expansive system can be susceptible to fraud, it’ s critical to identify and authenticate providers. Using a combination of PTAN and NPI numbers in their respective places helps healthcare organizations stay in compliance and protect Medicare from fraud and abuse as these organizations , providers , and patients rely on Medicare participation for their healthcare needs.
What is a provider's NPI number?
The provider’s NPI is a unique identification number issued by the National Plan and Provider Enumeration System (NPPES), which is used by all health plans and health care clearinghouses when submitting HIPAA standards transactions.
What does the state code of a provider mean?
The first two digits in the assigned code indicate the state of the provider or the state of the provider’s main billing address. For example, New York’s state code begins with 33 and Connecticut’s state code begins with 07. The CMS State Operations Manual provides the full list of codes according to states.
What is a 10 digit NPI?
The NPI is a 10-digit number that does not include information about the provider. The NPI is intended as an identification number to share with other suppliers and providers, health plans, clearinghouses, and any entity that may need it for billing purposes.
Is a PTAN number a Medicare number?
PTAN, in contrast, is Medicare-specific. While a provider will only have one NPI, they may have multiple PTAN (s). A provider may have multiple PTAN numbers if the provider is affiliated with multiple medical groups, practices, or medical contractors.
How to find a PTAN?
A: To find a previously issued PTAN, you may check your record within internet-based PECOS or the NPI Registry . Please note: In most cases, PTANs will only display if previously reported through the National Plan & Provider Enumeration System (NPPES) or added to your online enrollment record.
What is the fax number for First Coast Service Options?
Mechanicsburg, PA 17055-1849. Fax: 904-361-0737. Please include your legal business name, NPI, telephone and fax numbers. First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current.
How to get a PTAN from Railroad Medicare?
Paper Claim Submitters - If you meet an exception to mandatory electronic filing, you have the option to submit your initial CMS-1500 paper claim (s) to obtain a Railroad Medicare PTAN. Once Railroad Medicare receives a CMS-1500 (02/12) form, we will obtain your enrollment data from your local MAC and issue you a Railroad Medicare PTAN if everything can be verified on the MAC’s file, including the Tax Identification Number (TIN) (item 25), and the billing name and billing address (item 33). If the claim documentation is incomplete or cannot be verified, you will receive a letter stating that your request cannot be completed.
How to request a 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. To learn more, please see our article Using Railroad Medicare's Online PTAN Lookup and Request Tool.
How to become a railroad Medicare provider?
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). Before requesting a Railroad Medicare PTAN, you ...
What happens if your Medicare provider does not match your Part B MAC?
If the provider information you enter on the tool does not match what your local Part B MAC has on its enrollment file, Railroad Medicare will not be able to complete your request. You will receive an online message explaining why.
Does Railroad Medicare require CMS-855?
There are no CMS-855 enrollment forms required for Railroad Medicare. When you request a Railroad Medicare PTAN, Palmetto GBA verifies the enrollment information on file with your Part B MAC and creates a corresponding Railroad Medicare enrollment file. The effective date of your Railroad Medicare PTAN will be retroactive to the effective date ...
Do you need to be enrolled in Medicare before requesting a PTAN?
Before requesting a Railroad Medicare PTAN, you must be actively enrolled with your local Part B MAC. Once you are enrolled as a Medicare Part B provider, you are eligible to render services for a Railroad Medicare beneficiary, but you must request and be assigned a Railroad Medicare PTAN before we can process your claims.
Does Railroad Medicare PTAN match Part B?
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. If at any time your enrollment status with your local Part B MAC changes (such as failure to revalidate, provider revocations, provider suspensions, etc.), the same activity will occur with your Railroad Medicare PTAN.
RRB Specialty MAC Providers
Effective immediately, the Railroad Medicare COVID-19 hotline can be reached at 888-882-7931 between the hours of 8:30 a.m. to 7 p.m. ET. Representatives can assist with provisional enrollment and information about accelerated payment requests. Learn More
Railroad Medicare COVID-19 Hotline
Effective immediately, the Railroad Medicare COVID-19 hotline can be reached at 888-882-7931 between the hours of 8:30 a.m. to 7 p.m. ET. Representatives can assist with provisional enrollment and information about accelerated payment requests. Learn More