When was the Palmetto GBA Medicare Fee Schedule Part B accessed?
This fee was accessed on 10/28/2021 at 9:05:04 a.m. using the Palmetto GBA Medicare Fee Schedule Part B Lookup Tool. CMS updates and corrects fees often, which may mean the information below is out of date. Our Palmetto GBA Medicare Physician Fee Schedule (MPFS) tool allows you to display or download fees, indicators, and indicator descriptors.
How do I submit a voluntary refund to Palmetto GBA or Medicare?
Providers may also mail a check payable to Palmetto GBA or Medicare, the completed applicable voluntary refund form, and any relevant documentation to the address listed at the bottom of the applicable voluntary refund form.
Who is Palmetto GBA?
Medicare Resources. Palmetto GBA is one of the nation’s largest providers of high volume claims and transaction processing, contact center operations and technical services to the federal government and other commercial customers.
Where can Part B providers apply for temporary Medicare billing privileges?
Part B Providers in North and South Carolina, Virginia and West Virginia The telephone hotline 1-833-820-6138 has been created for providers and suppliers to initiate provisional temporary Medicare billing privileges and address questions regarding provider enrollment flexibilities afforded by the COVID-19 waiver.
Where is Palmetto GBA located?
Columbia, South CarolinaHeadquartered in Columbia, South Carolina, and part of the Celerian Group, our more than 2,300 associates in offices in Alabama, Georgia and South Carolina create value for government and commercial customers every day.
How do I contact Palmetto GBA?
For inquiries regarding provider enrollment, please call the Provider Contact Center at 855–696–0705. For education, please complete the Education Request form. To access this document, go to the Forms web page at www.PalmettoGBA.com/hhh/forms. Provider inquiries, please call 855–696–0705.
What is Palmetto GBA Medicare payer ID?
PGBA previously used a Payer ID of 00380 to appear on electronic claim files submitted for processing. PGBA's new Payer ID of 11001 is required as of Monday, January 24, 2011.
Is Palmetto GBA the same as CMS?
The federal Centers for Medicare & Medicaid Services (CMS) has selected Palmetto GBA as the Medicare Administrative Contractor for Jurisdiction J, which includes the states of Alabama, Georgia and Tennessee.
What is the claims address for Medicare?
Medicare All state claim address and phone number list, if any modification please comment it....Medicare claim address, phone numbers, payor id – revised list.StateArizonaIVR #1-877-908-8431Claim mailing addressMedicare Part B P.O. Box 6704 Fargo, ND 58108-6704Appeal addressMedicare Part B PO Box 6704 Fargo, ND 58108-6704Online resourcewww.noridianmedicare.com22 more columns
Does Palmetto GBA accept paper claims?
Claims may be filed to Palmetto GBA electronically (this applies to most Medicare providers) or on paper (if certain conditions or exceptions exist).
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.
What is an MSP code?
Medicare Secondary Payer (MSP) Value Codes The 14-value code should only be used for an individual entitled to Medicare and was in an accident or other situation where no-fault or liability insurance is involved.
What is Medicare payer ID number for Georgia?
10202Payer Name: Medicare - Georgia|Payer ID: 10202|Professional (CMS1500)/Institutional (UB04)[Hospitals]
What states does Palmetto Medicare cover?
Contact DetailsOrganization Type:A/B MAC -- A/B Medicare Administrative ContractorOrganization Description:Part A and B bills and services.Covered States and Territories:Alabama, Georgia, TennesseeInformation:Toll Free: 877-567-7271 Web Site: https://www.palmettogba.com/ Hours: 8:00am-5:00pm1 more row
Who owns Palmetto Medicare?
Blue Cross and Blue Shield of South CarolinaA subsidiary of Blue Cross and Blue Shield of South Carolina, Palmetto GBA oversees Medicare benefits for people in 45 US states, most of which are in the Southeast and Midwest, as well as the District of Columbia, Puerto Rico, and the US Virgin Islands.
What is the difference between Medicare and Railroad 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.
Jurisdiction M Part B MAC
The telephone hotline 1-833-820-6138 has been created for providers and suppliers to initiate provisional temporary Medicare billing privileges and address questions regarding provider enrollment flexibilities afforded by the COVID-19 waiver. The hotline is available Monday through Friday, from 8:30 a.m. to 5 p.m. ET. Learn More
COVID-19 Provider Enrollment and Accelerated Payment Telephone Hotline
The telephone hotline 1-833-820-6138 has been created for providers and suppliers to initiate provisional temporary Medicare billing privileges and address questions regarding provider enrollment flexibilities afforded by the COVID-19 waiver. The hotline is available Monday through Friday, from 8:30 a.m. to 5 p.m. ET. Learn More
How to contact Palmetto EDI?
If you have any questions regarding any of the documents in this package, please phone the Palmetto EDI Technology Support Center at 1-855-696-0705. We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.
How to contact Claimshuttle support?
Once you have received your Submitter ID and password from Palmetto, please call the Claimshuttle Support Team at 602-439-2525 and set an appointment for a Mailbox setup and Test Transmission to Palmetto.
Does Palmetto GBA have Medicare?
Palmetto GBA administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS ) for Jurisdictions M. If you are a provider located in the state of Virginia and need to become an electronic submitter for your Medicare B Claims, please follow the enrollment instructions below.