What is the Medicare payer ID for railroad Medicare?
Railroad Medicare Payer ID: 00882 This insurance is also known as: RR Medicare Other ID's: SRRGA
How do I exchange EDI with my Medicare provider?
Medicare contractors can assist you to begin exchanging EDI transactions by furnishing you with enrollment and connectivity information, system access numbers and passwords, information on those transactions supported by Medicare Part A and Part B, and testing with you to assure correct transmission of the EDI formats.
What is Edi for durable medical equipment?
For durable medical equipment claims (DME MAC or CEDI), by zip code of a beneficiary that receives services or supplies billed to. Use of EDI transactions allows a provider to submit transactions faster and be paid for claims faster, and to accomplish this at a lower cost than is generally the case for paper or manual transactions.
How do I enroll in Medicare as a railroad worker?
If you are enrolling in Medicare as a current or former railroad worker, you’ll need to follow specific steps to enrollment in Medicare: • Your enrollment in Original Medicare is handled by the RRB rather than by Social Security.
How do I bill to Medicare Railroad?
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 does a railroad Medicare number look like?
It will contain capital letters (all letters with the exception of S, L, O, I, B and Z) and numbers (0-9). The 2nd, 5th, 8th, and 9th characters will always be a letter, while characters 1, 4, 7, 10, and 11 will always be a number. The 3rd and 6th characters will be a letter or a number.
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.
Is Railroad Medicare same as 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 Medicare railroad?
The Federal Medicare program provides hospital and medical insurance protection for railroad. retirement annuitants and their families, just as it does for social security beneficiaries.
Where is the 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.
How can I find my Medicare submitter ID?
If you have forgotten your Submitter ID, please contact our EDI Provider Contact Center at 888-355-9165 for assistance.
Where can I find submitter ID?
The identification number is located on the top right of the cover sheet of the enrollment paperwork.
Is trade partner ID same as submitter ID?
EDI Support Services (EDISS) assigns a Trading Partner ID, also known as a Submitter ID, when an entity registers for an electronic transaction in EDISS Connect. The Trading Partner ID is used to submit electronic transactions and to register for the Noridian Medicare Portal (NMP).
Is railroad Medicare a Medicare Advantage Plan?
Yes, Railroad Medicare beneficiaries can choose to enroll in Medicare Advantage plans.
Who administers railroad Medicare?
Palmetto GBA is contracted by the independent federal agency Railroad Retirement Board (RRB), which administers comprehensive retirement-survivor and unemployment-sickness benefit programs for railroad workers and their families under the Railroad Retirement and Railroad Unemployment Insurance Acts.
How do I get railroad Medicare Ptan?
If you are already enrolled with your local Part B Medicare Administrative Contactor (MAC) and have a claim to submit for a Railroad Medicare patient, you will request a Railroad Medicare PTAN using the Railroad Medicare PTAN Lookup and Request Tool at www.palmettogba.com/RR/PTAN.
What is the purpose of Medicare EDI?
The purpose of the Railroad Medicare EDI Application Form is to enroll providers, software vendors, clearinghouses and billing services as electronic submitters and recipients of electronic claims data. It is important that instructions are followed and that all required information for the services you are requesting is completed. Incomplete forms will be returned to the applicant, thus delaying processing.
What is the current format for electronic remittances?
The current format for electronic remittances is the ASC X12 835 5010A1. Electronic Remittance can be requested by marking the appropriate box on the Railroad Medicare Part B EDI Application.
What is a MREP?
The Centers for Medicare & Medicaid Services (CMS) has made available the Medicare Remittance Easy Print (MREP) software to enable Medicare providers to view and print ASC X12 835 Electronic Remittance Advice. Using the HIPAA 835 files, MREP enables providers to view and print ASC X12 835 in the current Standard Paper Remittance (SPR) format Medicare uses. MREP provides the ability to view, search and print the 835 in a format providers are familiar with, as well as view and print special reports.
What is Palmetto Pro32?
Palmetto GBA offers PC-ACE Pro32, a claims-entry software that allows providers to enter their claims. Pro32 does not integrate into office systems such as accounts receivable, inventory or billing. This software is not supported when installed on a network. The software should only be installed on a stand-alone PC.
What is a provider authorization form?
The purpose of the Provider Authorization Form is to authorize a clearinghouse and/or billing service as an electronic submitter and recipient of electronic claims data. It is important that instructions are followed and that all required information is completed. This form is to be completed and signed by the provider. Forms completed and signed by a vendor, billing service or clearinghouse for a provider will not be processed. Incomplete forms will be returned to the applicant, thus delaying processing. PLEASE NOTE: CR3875 requires that each provider be notified when a clearinghouse and/or billing service has requested access to the provider’s claims, responses, electronic remittances or online services access.
How to notify Palmetto GBA?
When you have a change of ownership, you must notify Palmetto GBA by calling the Palmetto GBA RRB Provider Contact Center at 888-355-9165. If the change of ownership results in different Railroad Medicare provider number(s) or PTAN(s), please inform the EDI Support Team when you call.
What is an EDI application?
The EDI Application Form is used for initial EDI set up. The information on this form is also used to verify requester information submitted on additional EDI applications. You must submit an EDI Application Form when submitting the EDI Enrollment Agreement.
What can Medicare contractors do?
Medicare contractors can assist you to begin exchanging EDI transactions by furnishing you with enrollment and connectivity information, system access numbers and passwords, information on those transactions supported by Medicare Part A and Part B, and testing with you to assure correct transmission of the EDI formats.
What is Medicare MAC?
A/B Medicare Administrative Contractors (MACs), and Durable Medical Equipment (DME) MACs as well as the DME MAC Common Electronic Data Interchange (CEDI) contractor furnish first line Electronic Data Interchange (EDI) support to physicians, suppliers and other providers that submit claims and conduct other Health Insurance Portability and Accountability Act (HIPPA) of 1996 named electronic business with the Medicare Part A and Part B program.#N#Providers, billing services, clearinghouses, or other entities that furnish services to providers, shall contact the following: 1 For professional claims, by geographic area in which the provider operates. 2 For institutional claims, by geographic area in which the institution operates. 3 For durable medical equipment claims (DME MAC or CEDI), by zip code of a beneficiary that receives services or supplies billed to.
