Medicare Blog

what address to use for medicare claim

by Prof. Anthony Robel I Published 2 years ago Updated 1 year ago
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Medicare claim address, phone numbers, payor id – revised list

State State IVR # Claim mailing address Appeal address
Florida FL 1-877-847-4992 Medicare Part B Participating Providers ... Medicare Part B Redetermination P.O. Box ...
Virgin Islands VI 1-877-847-4992 Medicare Part B Participating Providers ... Medicare Part B Redetermination P.O. Box ...
Arizona AZ 1-877-908-8431 Medicare Part B P.O. Box 6704 Fargo, ND ... Medicare Part B PO Box 6704 Fargo, ND 58 ...
Montana MT 1-877-908-8431 Medicare Part B P.O. Box 6735 Fargo, ND ... Medicare Part B PO Box 6735 Fargo, ND 58 ...
Apr 24 2022

Medicare claim address, phone numbers, payor id – revised list
StateAppeal address
ArizonaAZMedicare Part B PO Box 6704 Fargo, ND 58108-6704
MontanaMTMedicare Part B PO Box 6735 Fargo, ND 58108-6735
North DakotaNDMedicare Part B PO Box 6706 Fargo, ND 58108-6706
South DakotaSDMedicare Part B PO Box 6707 Fargo, ND 58108-6707
19 more rows

Full Answer

Where to send Medicare claims address?

There is no address for all Medicare claims across the country. Instead, each state works with a Medicare Administrative Contractor (MAC) that handles the claims. Original Medicare requires doctors and providers to submit claims for you within 12 months of the service you received.

What is the mailing address for Medicare claims?

The form you need to use to file your claims is available on the Medicare website. There are different instructions for the different type of claim you are filing and you will need to choose the appropriate form for the service you received. You may need to send additional documentation with your claim. The address to send the claim to can be found on the Medicare website or on …

What if Medicare denies my claim?

14 rows · Claim mailing address: Appeal address: Online resource: Florida: FL: 1-877-847-4992: ...

What to do if Medicare denies your medical claim?

If you want Medicare to be able to give your personal information to someone other than you, you need to fill out an "Authorization to Disclose Personal Health Information." Get this form in Spanish. TTY 1-877-486-2048 Mailing address. Medicare Contact Center Operations PO Box 1270 Lawrence, KS 66044

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Can you mail a claim to Medicare?

The final step in filing your own Medicare claim is to mail all the completed forms and documents to Medicare. This includes the Patient's Request for Medical Payment form, itemized bills, and any other supporting documents to your claim. You must file your Medicare claim by mail.Jul 30, 2020

How do I submit a claim to Medicare?

Contact your doctor or supplier, and ask them to file a claim. If they don't file a claim, call us at 1-800-MEDICARE (1-800-633-4227). TTY: 1-877-486-2048. Ask for the exact time limit for filing a Medicare claim for the service or supply you got.

What is the claims address for Florida Medicare?

Claims: Contact information – Florida, Part AFocusTelephone numbersAddressesSpecial delivery: Overnight mail and/or special courier serviceN/AFirst Coast Service Options Inc. Medicare Part A Claims 2020 Technology Parkway Suite 100 Mechanicsburg, PA 17050-94199 more rows•Sep 15, 2020

Where is Medicare headquarters located?

Baltimore, MDCenters for Medicare & Medicaid Services / Headquarters

How do I make a Medicare claim on myGov?

Sign in to myGov and select Medicare. If you're using the app, open it and enter your myGov pin. On your homepage, select Make a claim. Make sure you have details of the service, cost and amount paid to continue your claim.Dec 10, 2021

Does Medicare have an email address?

If you want Medicare information in an accessible format, you can: Call 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048. Email us at altformatrequest@cms.hhs.gov.Jan 18, 2021

How do I contact Medicare Australia?

calling Medicare general enquiries on 132 011. visiting a Medicare Service Centre with your proof of identity.

What is the Claims Mailing Address for Medicare?

There is no central address that all Medicare claims are sent to. Each state works with a company called a Medicare Administrative Contractor (MAC)...

How Do I File a Claim?

If you’re submitting a claim for reimbursement, you’ll need to print off a Patient Request for Medical Payment form (CMS-1490S). You can fill it ou...

Why would I need to file a claim?

As we mentioned, you may not need to file a claim if you’re on Medicare. Most of your claims will be filed for you if you’re on Original Medicare,...

What do I need to include when mailing a reimbursement claim?

Along with the completed Patient Request for Medical Payment form, you’ll also need to include:

Can I Submit a Claim Directly to Medicare If I Have Medicare Advantage?

No — if you have Medicare Advantage, all coverage decisions are made by the private insurer you purchased your policy from. So, if you have a Medic...

What is the Railroad Medicare claims address?

If you receive retirement benefits and Medicare through the Railroad Retirement Board, your claims are handled by a separate Medicare Administrativ...

When should I file a Medicare claim for myself?

Medicare claims are expected to be filed within 12 months of the original date of service.

What to do if you don't file a claim with Medicare?

If you find that your claims are not being filed within the appropriate timeline, the first thing to do is contact your provider, whether it be a doctor or medical supplier, and request that they file the claim. If they still do not file the claim, your next step would be to contact Medicare directly. If the time limit is coming to ...

Why do you need a letter from Medicare?

Reasons for filing your own claim that you may want to put into the letter include your provider not filing the claim in a timely manner, the provider or supplier does not participate in Medicare, ...

What to do if your medical provider does not accept Medicare?

If a claim has not been filed in a timely manner by your medical provider, you should first contact them and then you can file a claim yourself if the time limit is running out. You may able to file a claim for reimbursement if you received care from a provider that did not accept Medicare. The form you need to use to file your claims is available ...

Phone

For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

1-800-MEDICARE (1-800-633-4227)

For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

What to call if you don't file a Medicare claim?

If they don't file a claim, call us at 1-800-MEDICARE (1-800-633-4227) . TTY: 1-877-486-2048. Ask for the exact time limit for filing a Medicare claim for the service or supply you got. If it's close to the end of the time limit and your doctor or supplier still hasn't filed the claim, you should file the claim.

How to file a medical claim?

Follow the instructions for the type of claim you're filing (listed above under "How do I file a claim?"). Generally, you’ll need to submit these items: 1 The completed claim form (Patient Request for Medical Payment form (CMS-1490S) [PDF, 52KB]) 2 The itemized bill from your doctor, supplier, or other health care provider 3 A letter explaining in detail your reason for submitting the claim, like your provider or supplier isn’t able to file the claim, your provider or supplier refuses to file the claim, and/or your provider or supplier isn’t enrolled in Medicare 4 Any supporting documents related to your claim

How long does it take for Medicare to pay?

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. For example, if you see your doctor on March 22, 2019, your doctor must file the Medicare claim for that visit no later than March 22, 2020.

When do you have to file Medicare claim for 2020?

For example, if you see your doctor on March 22, 2019, your doctor must file the Medicare claim for that visit no later than March 22, 2020. Check the "Medicare Summary Notice" (MSN) you get in the mail every 3 months, or log into your secure Medicare account to make sure claims are being filed in a timely way.

Does Medicare Advantage cover hospice?

Medicare Advantage Plans provide all of your Part A and Part B benefits, excluding hospice. Medicare Advantage Plans include: Most Medicare Advantage Plans offer prescription drug coverage. , these plans don’t have to file claims because Medicare pays these private insurance companies a set amount each month.

Do you have to file a claim with Medicare Advantage?

Medicare services aren’t paid for by Original Medicare. Most Medicare Advantage Plans offer prescription drug coverage. , these plans don’t have to file claims because Medicare pays these private insurance companies a set amount each month.

File a complaint (grievance)

Find out how to file a complaint (also called a "grievance") if you have a concern about the quality of care or other services you get from a Medicare provider. Contact your State Health Insurance Assistance Program (SHIP) for local, personalized Medicare counseling.

File a claim

Get information on how and when to file a claim for your Medicare bills (sometimes called "Medicare billing"). You should only need to file a claim in very rare cases.

Check the status of a claim

Check your claim status with your secure Medicare account, your Medicare Summary Notice (MSN), your Explanation of Benefits (EOB), Medicare's Blue Button, or contact your plan.

File an appeal

How to appeal a coverage or payment decision made by Medicare, your health plan, drug plan or Medicare Medical Savings Account (MSA) Plan.

Your right to a fast appeal

Learn how to get a fast appeal for Medicare-covered services you get that are about to stop.

Authorization to Disclose Personal Health Information

Access a form so that someone who helps you with your Medicare can get information on your behalf.

Enrollment forms

I have Part A and want to apply for Part B (Application for Enrollment in Part B/CMS-40B).

Appeals forms

I want to appoint a representative to help me file an appeal (Appointment of Representative form/CMS-1696).

What is the number to call for Medicare?

If a physician or supplier furnishes Medicare covered services to you and refuses to submit a claim on your behalf for those services, please call 1-800-MEDICARE (1-800-633-4227) in order to file a complaint with the Medicare contractor. TTY users should call 1-877-486-2048.

How to contact Medicare contractor?

If you still do not know the address of your Medicare contractor, call 1-800-MEDICARE (1-800-633-4227) . TTY users should call 1-877-486-2048.

How do I contact Medicare for diabetic test strips?

IF YOU NEED HELP, CALL 1-800 -MEDICARE (1-800-633-4227) . TTY USERS SHOULD CALL 1-877-486-2048.

What is the authority to collect Medicare information?

COLLECTION AND USE OF MEDICARE INFORMATION. We are authorized by the Centers for Medicare & Medicaid Services to ask you for information needed in the administration of the Medicare program. Authority to collect information is in section 205 (a), 1872 and 1875 of the Social Security Act, as amended.

How long does it take for Medicare to process a claim?

Make a copy of your claim submission for your records and allow at least 60 days for Medicare to receive and process your request.

How long does Medicare pay for a ship?

Medicare may pay for medically necessary services furnished on a ship in a U.S. port or within 6 hours of when the ship arrived at or departed from a U.S. port only if all of the following requirements are met:

What to call if you are not enrolled in Medicare?

The provider or supplier is not enrolled with Medicare. IF YOU NEED HELP, CALL 1-800-MEDICARE (1-800-633-4227). TTY USERS SHOULD CALL 1-877-486-2048. Type of Patient’s Request (see instructions for additional information, check one box only):

Why Medicare uses a claim number

Medicare once used a beneficiary’s Social Security number to file claims. But the Medicare program loses billions of dollars to fraud every year, and using a person’s Social Security number makes it easier for people who commit fraud to steal identities and abuse Medicare benefits.

How your Medicare claim number is used

Medicare beneficiaries generally do not have to file claims on their own. When you receive care, your health care provider will take your Medicare card and use the claim number on the front of your card to file a claim on your behalf. According to Medicare rules, health care providers have one year from the date of service to file a claim.

How to replace your Medicare card

Call 1-800-MEDICARE (1-800-633-4227) and follow the automated prompts for reporting and replacing a lost or stolen card. You may also print a temporary copy of your card through your MyMedicare.gov account.

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When Do I Need to File A Claim?

How Do I File A Claim?

  • Fill out the claim form, called the Patient Request for Medical Payment form (CMS-1490S) [PDF, 52KB). You can also fill out the CMS-1490S claim form in Spanish.
See more on medicare.gov

What Do I Submit with The Claim?

  • Follow the instructions for the type of claim you're filing (listed above under "How do I file a claim?"). Generally, you’ll need to submit these items: 1. The completed claim form (Patient Request for Medical Payment form (CMS-1490S) [PDF, 52KB]) 2. The itemized bill from your doctor, supplier, or other health care provider 3. A letter explaining in detail your reason for subm…
See more on medicare.gov

Where Do I Send The Claim?

  • The address for where to send your claim can be found in 2 places: 1. On the second page of the instructions for the type of claim you’re filing (listed above under "How do I file a claim?"). 2. On your "Medicare Summary Notice" (MSN). You can also log into your Medicare accountto sign up to get your MSNs electronically and view or download them an...
See more on medicare.gov

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