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 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. ...
Where to submit railroad Medicare claims?
• Call Palmetto GBA Railroad Medicare toll-free at 1-800-833-4455. If you are hearing impaired, you can call (877) 566-3572. • Call the Railroad Retirement Board’s automated system at 1-800-808-0772. • Submit an Online Service Request on the RRB website www.RRB.gov.
Does railroad Medicare accept paper claims?
Send paper claims to: Palmetto GBA Railroad Medicare. P.O. Box 10066. Augusta, GA 30999-0001. File an eClaim: eServices users also have the ability to submit paperless eClaims through the portal. See section 4.6 of the eServices User Manual (PDF, 8.59 MB) for more information. eServices Claim Submission (eClaim) Tips.
What is Medicare Part A?
What is the enrollment period for Medicare?
What is the RRB?
What age does Medicare cover?
Does Medicare cover railroad workers?
When does the enrollment period start for a 401(k)?
Is Medicare Part D the same as Medicaid?
See more
About this website
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 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 is Medicare payer ID number?
01112Medicare claim address, phone numbers, payor id – revised listStatePayer IDCaliforniaCA01112ColoradoCO04112ConnecticutCT13102DelawareDE1210246 more rows
Is railroad Medicare the 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 do railroad Medicare ID numbers 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.
Is railroad Medicare a Medicare Advantage Plan?
Yes, Railroad Medicare beneficiaries can choose to enroll in Medicare Advantage plans.
How do I find the payer ID?
The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section.
Can I submit a claim directly to Medicare?
If you have Original Medicare and a participating provider refuses to submit a claim, you can file a complaint with 1-800-MEDICARE. Regardless of whether or not the provider is required to file claims, you can submit the healthcare claims yourself.
What is claims payer ID?
A Payer ID is a unique ID number that is assigned to an insurance company for the purpose of transmitting provider claims electronically. Each company has a specific number that must be used in order to achieve proper adjudication of the claim.
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 check 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.
Will railroad Medicare accept paper claims?
Claims should be submitted with NPIs only to identify the ordering, referring, rendering, and billing providers. As a reminder, effective April 1, 2014, Medicare can only accept paper claims submitted on the revised CMS 1500 (02/12) version claim form.
Railroad Providers - Provider Enrollment
Changes to the Medicare Opt-Out Law for Physicians and Practitioners Getting Started With Railroad Medicare Billing Railroad Medicare Provider Enrollment: Temporary Provisional Medicare Billing Privileges Due to COVID-19 Railroad Medicare Provider Enrollment: Temporary Provisional Medicare Billing Privileges Due to COVID-19 Using Railroad Medicare's Online PTAN Lookup and Request Tool Using ...
Railroad Providers - Enroll a Provider - Palmetto GBA
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.
Railroad Retirement Board Benefits and Medicare | Eligibility
Due to COVID-19, the Railroad Retirement Board closed offices as of March 16, 2020. We’ll keep you updated on when offices reopen. In the meantime, visit RRB.gov to learn about your online self-serve options.
FREQUENTLY ASKED QUESTIONS BY RAILROAD MEDICARE
Q: I am unable to obtain any information from Medicare about my spouse’s claims. How can I obtain this information? A: In order to obtain this information, you must have a signed Beneficiary Authorization Form on file.
Railroad Healthcare Benefits Information - Retirement and Supplemental ...
Every employee’s situation can be unique. You must contact Customer Service at 1-800-842-5252 at least one month prior to retirement for information and questions, requests for GA-46000, and GA-23111 coverage books and COBRA FORMS.
Provider Contact Center: 1-888-355-9165
Call the Provider Contact Center (PCC) to speak with representatives in Customer Service, Provider Enrollment, Electronic Data Interchange, eServices and Telephone Reopenings.
Interactive Voice Response (IVR): 1-877-288-7600
Use the IVR to request routine claim status, beneficiary eligibility, and payment information and to request a duplicate remittance advice.
Email Us
Use our contact form to submit general inquiries or to provide feedback on our website. For security reasons please do not submit requests involving PHI/PII with this form.
Contact Palmetto GBA Departments
For information on contacting a specific department by phone, email, fax, or for instructions on submitting documentation by mail, please select a department:
Feedback to the Railroad Retirement Board (RRB)
If you would like to send any feedback to the RRB regarding your experience with Palmetto GBA, please direct your comments to: RRBMedicarecommunications@rrb.gov .
Where is the railroad retirement board on my Medicare card?
Your Medicare card is similar to the new Medicare cards that all beneficiaries receive, with the exception that “Railroad Retirement Board” is printed in a red banner at the bottom of the card .
What happens if you receive a railroad retirement?
If you receive Railroad Retirement benefits or disability annuity benefits from the railroad at the time of eligibility for Medicare, you are automatically enrolled in Medicare Parts A and B by the RRB. After the RRB automatically enrolls you, you receive your Medicare card together with a letter from the RRB explaining ...
What is the RRB?
The RRB administers insurance and retirement benefits to all railroad workers in the country. Instead of getting retirement benefits from the U.S. Social Security Administration as other workers do, the RRB provides railroad workers and their families with retirement benefits, along with unemployment and sickness benefits, ...
Do you have to go through the Social Security Administration if you are employed by the railroad?
However, if you have end-stage renal disease (ESRD) and qualify for Medicare, you must go through the Social Security Administration even if you are employed by the railroad.
Does Medicare cover railroad employees?
Medicare offers coverage to railroad employees just as it does for people who have Social Security. The payroll taxes of railroad employees include railroad retirement and Medicare hospital insurance taxes.
What is Medicare Part A?
Hospital Insurance ( Medicare Part A ), which helps pay for inpatient care in hospitals and skilled nursing facilities (following a hospital stay), some home health care services, and hospice care.
What is the enrollment period for Medicare?
Special Enrollment Period for People Covered Under a Group Health Plan#N#If you are age 65 or older and covered under a group health plan, either from your own or your spouse’s current employment, you have a special enrollment period in which to sign up for Medicare Part B. This means that you may delay enrolling in Medicare Part B without having to wait for a general enrollment period and paying the 10 percent premium surcharge for late enrollment. The special enrollment period rules allow you to: 1 enroll in Medicare Part B anytime while you are covered under the group health plan based on current employment; or 2 enroll in Medicare Part B during the 8-month period that begins the month after your group health coverage ends or employment ends, whichever comes first.
What is the RRB?
The Railroad Retirement Board (RRB) enrolls railroad retirement beneficiaries in the program, deducts Medicare premiums from monthly benefit payments, and assists in certain other ways.
What age does Medicare cover?
Medicare is our country’s health insurance program for people age 65 or older, certain people with disabilities who are under age 65, and people of any age who have permanent kidney failure.
Does Medicare cover railroad workers?
The Medicare program covers railroad workers just like workers under social security. Railroad retirement payroll taxes include a Medicare hospital insurance tax just like social security payroll taxes. Though you’re paying into the Medicare program during your working years, and will probably rely on its services in the future, ...
When does the enrollment period start for a 401(k)?
If you are eligible at age 65, your initial enrollment period begins 3 months before the month of your 65th birthday; includes the month you turn age 65; and ends 3 months after the month of your 65th birthday.
Is Medicare Part D the same as Medicaid?
Prescription Drug Coverage ( Medicare Part D ), as described in more detail under Prescription Drug Coverage. A Word about Medicaid. You may think that Medicaid and Medicare are two different names for the same program. Actually, they are two different programs.
