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)
How to bill Medicare Railroad claims?
- Before filing claims electronically to Railroad Medicare, you must have an EDI enrollment packet on file with Palmetto GBA. ...
- View the Electronic Filing Instructions
- Palmetto GBA Interactive CMS-1500 Claim Form Instructions — This resource can also be helpful to providers who submit electronic claims. ...
Do you need a Medicare ptan?
The Medicare-issued provider transaction access number (PTAN) is a six-digit authentication number that every healthcare service provider needs when enrolling with Medicare. However, patients should not have this number. The Medicare provider transaction access number will be assigned based on the provider’s location and type of service offered.
What is the phone number for railroad Medicare?
• Addresses and phone numbers • Hospital affiliations • Medicare assignment status • Language spoken If you do not have access to the Internet, you can either call 1-800-MEDICARE (1-800-663-4227) or the Palmetto GBA Railroad Medicare Beneficiary Contact Center (1-800-833-4455), and Customer Service
How do I look up a ptan number?
How do I look up a Ptan number? 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 do I credential a provider with railroad Medicare?
The first step in becoming a Railroad Medicare provider is to request and receive a Railroad Medicare Provider Transaction Access Number (PTAN)....Enroll a ProviderStep 1: Ensure your Part B MAC enrollment information is correct. ... Step 2: Request a Railroad Medicare PTAN. ... Step 3: Receive your Railroad Medicare PTAN.
What is 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.
Does Railroad Medicare have a provider portal?
Events. Palmetto GBA Railroad Medicare is pleased to offer eServices, our free Internet-based, provider self-service portal. The application provides information access over the Web for the following online services: Eligibility.
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.
How do I find my Medicare Ptan RR?
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.
Is Ptan same as Medicare identification number?
The Provider Transaction Access Number (PTAN) is your unique Medicare identification number. This number is assigned to providers once their enrollment has been approved.
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 Palmetto GBA railroad Medicare?
Palmetto GBA is the Railroad Specialty Medicare Administrative Contractor (RRB SMAC) and processes Part B claims for Railroad Retirement beneficiaries nationwide.
What is Palmetto GBA eServices?
Palmetto GBA's eServices is a free, internet-based, provider self-service secure application. Palmetto GBA's goal is to give the provider secure and fast access to their Medicare information seamlessly via our website through the eServices application.
What does a railroad Medicare number 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. The second, fifth, eighth and ninth characters will always be a letter.
What is an EDI submitter?
A Submitter ID number is a unique number identifying electronic submitters. A Submitter ID can be used to transmit Part A, Part B and HHH EDI transactions to CGS. You must request a Submitter ID if you will be submitting claims directly to CGS.
How do I get a Medicare submitter ID?
Vendors/trading partners will need to complete an Railroad Medicare EDI Application form to request a vendor Submitter ID prior to testing. If you have forgotten your Submitter ID, please contact our EDI Provider Contact Center at 888-355-9165 for assistance.
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 ...
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 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 ...
Can I request a PTAN for a railroad?
You can request a new Railroad Medicare PTAN for individual providers only (physician, non-physician practitioner, ambulance, laboratory, ambulatory surgical center, etc.). Please do not attempt to request a new PTAN for a group/practice. A group PTAN will be created when an individual PTAN is assigned to the first group member.
Is Railroad PTAN retroactive?
The effective date of your Railroad Medicare PTAN will be retroactive to the effective date of your Part B Medicare PTAN. If you have recently provided a Part B service to a Railroad Medicare beneficiary and are ready to submit your claim, follow these easy steps to request a Railroad Medicare Provider Transaction Access Number (PTAN).
How long does it take to get a PTAN number?
Use the information on your prepared lists to fill in details on the application. This application is relatively straightforward and should only take around 20 minutes to complete.
What is a PTAN number?
Obtaining a provider transaction access number (PTAN) is necessary for all health care providers who provide services to Medicare patients. This identifier is used to bill Medicare for medical services provided. Without a PTAN number medical provider billings to Medicare will be rejected and returned.
How many digits are required for NPI password?
The ID cannot contain more than four digits. Determine a password for your NPI account. The password should consist of 8 to 12 characters that contains at least one character and one number. The user ID and password cannot be the same. The system will not accept any special characters in the user ID or password.
What is taxonomy code?
The taxonomy code is used to identify precisely what type of health care provider category that you are applying for. These codes are specialized according to group or individual provider, type of practitioner and subspecialty (see Resources.) Create an National Provider Information (NPI) user ID.
How often does Medicare deactivate PTAN?
Medicare is mandated by CMS to deactivate PTANs not being used. 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.
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 a PTAN?
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. Notification Letter: The MAC will issue a notification/approval letter with the PTAN once the Provider's enrollment is approved.
Can you use multiple PTANs?
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. Noridian may determine and issue more than one PTAN depending only upon the reasonable charge locality of your practice locations.
