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 ... |
| State | Appeal address | |
|---|---|---|
| Arizona | AZ | Medicare Part B PO Box 6704 Fargo, ND 58108-6704 |
| Montana | MT | Medicare Part B PO Box 6735 Fargo, ND 58108-6735 |
| North Dakota | ND | Medicare Part B PO Box 6706 Fargo, ND 58108-6706 |
| South Dakota | SD | Medicare Part B PO Box 6707 Fargo, ND 58108-6707 |
What is the mailing address for Medicare claims?
Providers can use the addresses provided below to submit the following types of correspondence:
- Enrollment (CMS applications and PECOS Web Certification Statements and supporting documentation)
- Medicare Secondary Payer (MSP)
- Paper Claims
- Redeterminations (All types including overpayments, CERT, RA, SMRC, and UPIC)
- Refunds
- Responses to Noridian requests for additional documentation
- Written Inquiries
Where to file Medicare 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. ...
How to find a Medicare office near you?
- Dial 1-800-MEDICARE. ...
- Ask the customer service agent who answers your call to help you determine the nearest Medicare office. ...
- Write the address and phone number of any offices you are interested in on a piece of paper. ...
What is the customer service number for Medicare?
What is the Medicare Phone Number?
- “Claim service” or press “1”
- “Coverage and benefits” or press “2”
- “Premium payments” or press “3”
- “Preventive exams” or press “4”
- “Deductible” or press “5”
- “Help me with something else” or press “6”
- “Agent” or press “0” (zero)
Can you mail a claim to Medicare?
4. Mail completed form and supporting documents to Medicare All claims must be submitted by mail; you can't file a Medicare claim online. You can find the mailing address for your state's contractor in a number of ways: View the second page of the Medicare instructions for your Medicare claim type.
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 form is used to send claims to Medicare?
Form CMS-1500Providers sending professional and supplier claims to Medicare on paper must use Form CMS-1500 in a valid version. This form is maintained by the National Uniform Claim Committee (NUCC), an industry organization in which CMS participates.
How do I submit a 1500 claim to Medicare?
CMS-1500 should be submitted with the appropriate resubmission code (value of 7) in Box 22 of the paper claim with the original claim number of the corrected claim. Include a copy of the original Explanation of Payment (EOP) with the original claim number for which the corrected claim is being submitted.
Does Medicare accept secondary paper claims?
If, after processing the claim, the primary insurer does not pay in full for the services, submit a claim via paper or electronically, to Medicare for consideration of secondary benefits.
Where do I fax Medicare claims?
Complete all fields and fax to 877- 439-5479 or mail the form to the applicable address/number provided at the bottom of the page. Complete ONE (1) Medicare Fax / Mail Cover Sheet for each electronic claim for which documentation is being submitted. This form should not be submitted prior to filing the claim.
What is the difference between UB 04 and CMS 1500?
The UB-04 (CMS-1450) form is the claim form for institutional facilities such as hospitals or outpatient facilities. This would include things like surgery, radiology, laboratory, or other facility services. The HCFA-1500 form (CMS-1500) is used to submit charges covered under Medicare Part B.
What goes in box 11 on a CMS 1500?
INSURED'S POLICY GROUPIf the member has a secondary insurance these boxes must be completed. If YES is checked in Box 11d, enter the month, day and year the policyholder was born. The format for a birth date must be MMDDYYYY.
Where do I send my Medicare form CMS 1490s?
MEDICARE ADMINISTRATIVE CONTRACTOR ADDRESS TABLEIf you received a service in:Mail your claim form, itemized bill, and supporting documents to::California Southern (For Part B)Noridian Healthcare Solutions, LLC P.O. Box 6775 Fargo, ND 58108-677554 more rows
What goes in box 22 on a CMS 1500?
Resubmission CodeComplete box 22 (Resubmission Code) to include a 7 (the "Replace" billing code) to notify us of a corrected or replacement claim, or insert an 8 (the “Void” billing code) to let us know you are voiding a previously submitted claim.
What is an NPI number where does it go on CMS 1500?
The NPI must be entered within the confines of the larger box. The NPI may be reported on the CMS-1500 Form (08-05) as early as January 1, 2007. An invalid NPI will cause the claim to be rejected as unprocessable. NOTE: Field 17a and/or 17b is required when a service was ordered or referred by a physician.
How do you fill out CMS 1500 when Medicare is secondary?
0:239:21Medicare Secondary Payer (MSP) CMS-1500 Submission - YouTubeYouTubeStart of suggested clipEnd of suggested clipHere when the insured. And the patient are the same the biller enters the word. Same if medicare isMoreHere when the insured. And the patient are the same the biller enters the word. Same if medicare is primary this item is left blank.
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...
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
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 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.
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 ...
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 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 ...
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, ...
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.
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.
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):
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.
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…
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...