Medicare of California Northern – J1 P.O. Box 1051 Augusta, GA 30903-1051 Medicare of California Southern – J1 P.O. Box 1051 Augusta, GA 30903-1051 Usually Medicare does not accept primary paper claim so please find out the payor id and submit the claims electronically.
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State Specific Exceptions.
| Correspondence | USPS | Certified/Courier Mailings |
|---|---|---|
| Refunds | Noridian JE Part B Attn: Refunds PO Box 511381 Los Angeles CA 90051-7936 | Noridian JE Part B Attn: Refunds PO Box 511381 Los Angeles CA 90051-7936 |
Where do I Send my Medicare claim?
California Northern (Medicare Part B claims address) Address for Part B Claim Forms (medical, influenza/pneumococcal vaccines, lab/imaging) and foreign travel. Noridian Healthcare Solutions. P.O. Box 6774. Fargo, ND 58108-6774. Address for priority mail/commercial couriers (Part B) –.
Where do I Send my Medicare Part B form?
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 …
How do I send a Medicare 1490 claim to Novitas?
California: CA: 1-866-931-3903: Palmetto GBA Part B – J1 MAC P.O. Box 1051 Augusta, GA 30903-1051 Fax: (803) 462-3930(North California) ... Georgia Medicare Part B Claims PO Box 12847 Birmingham, AL 35202-2847: Georgia Part B Redeterminations PO Box 12967 Birmingham, AL 35202-2967: www.cahabagba.com: Tennessee: TN:
How do I claim Medicare for shipboard services?
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.
What is Medicare mailing address for claims?
| State | Appeal address | |
|---|---|---|
| Texas | TX | Medicare Part B Claims P.O. Box 660156 Dallas, TX 75265-0156 |
| Alaska | AK | Medicare Part B PO Box 6703 Fargo, ND 58108-6703 |
| Oregon | OR | Medicare Part B PO Box 6702 Fargo, ND 58108-6702 |
| Washington | WA | Medicare Part B PO Box 6700 Fargo, ND 58108-6700 |
Can you mail a claim 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.Dec 11, 2019
How do you submit a claim to Medicare?
Where do I mail Medicare Part B claims?
- Noridian Healthcare Solutions.
- P.O. Box 6704 Fargo, ND 58108-6704.
What form is used to send claims to Medicare?
How do I make a Medicare claim on myGov?
Can you submit Medicare forms online?
How do I contact Medicare Australia?
How do I file Medicare secondary claims electronically?
Does Medicare accept paper claims?
Where do I send my Medicare form CMS 1490s?
| If 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 58108-6775 |
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...
Who normally files a claim?
Typically, your Medicare claims should be sent directly from your provider to Medicare. Your provider will then be paid a reimbursement rate according to the program’s regulations and legislation. Your medical provider is required by law to submit these claims so it is typically not your individual responsibility.
When can I submit a reimbursement claim?
If you saw a provider that does not accept Medicare assignment at all, then you may be able to file a reimbursement claim with Medicare. If your provider does not accept Medicare, you will most likely be required to pay for the services up front and out of your own pocket.
When should I be filing a claim for myself?
Another specific and unusual circumstance in which you may need to file a Medicare claim on your own is if your medical provider has not filed the claim within the appropriate timeline. Medicare claims are expected to be filed within 12 months of the original date of service.
How do I file the claim?
To file a claim, you will need to fill out the Patient Request for Medical Payment form. You will need to follow the specific instructions depending on what claim you are going to be filing.
What additional documentation will I need to send with my claim?
Depending on the type of claim you are filing, the required documentation can vary. Generally, you will at least need the completed Patient Request for Medical Payment form and the itemized bill from your doctor or medical provider that shows the exact services provided.
What address do I need to send this claim to?
You can find the address that you need to send your claim on the Medicare website where the instructions for filing your particular claim are listed.
List of claims mailing addresses
Check subscriber ID for three-letter prefix before sending. Learn more about the BlueCard Program.#N#Blue Shield of California#N#P.O. Box 272630#N#Chico, CA 95927-2630#N#Phone: (800) 622-0632
Where to send claims for foundations for medical care
When the name of a medical foundation appears on a subscriber's identification card, the benefits for that subscriber are administered by that foundation. Forward all claims to that foundation for payment. Listed below, by county, are the addresses of medical foundations with which Blue Shield is affiliated.
Misdirected claims for HMO plan members
Claims for capitated services provided to a Blue Shield HMO member that are erroneously sent to Blue Shield for processing/payment will be forwarded to the appropriate capitated provider within 10 working days of the receipt.
How to contact Xerox about Medi-Cal?
If you have billing questions, please contact Xerox at (800) 541-5555 (outside of California, please call (916) 636-1980). You can also visit the Medi-Cal website for billing procedures and updates.
How to submit a SAR?
Some helpful tips when submitting a SAR: 1 Providers must request CCS services using a SAR form.#N#Note: Providers should verify CCS eligibility before submitting a SAR. 2 Providers are required to submit documentation to substantiate medical necessity at the time the SAR is submitted. Send the completed SAR form with supporting documentation to the appropriate CCS county or Regional Office via fax or mail. Examples of required supporting documentations include prescriptions, clinic visit reports, physical therapy evaluation reports, etc. A SAR without supporting documentation will be deferred back to the provider for additional information. 3 Each SAR submitted to CCS is reviewed for medical necessity. 4 If the SAR is approved, a copy of the authorization letter will be sent to the provider and the family via fax or mail. 5 If the SAR is denied, a copy of the Notice of Action (NOA) or denial letter with the reason for denial of service will be sent to the client, parent or legal guardian with a courtesy copy to the provider via mail. 6 If the SAR is incomplete and lacks supporting documentation to substantiate medical necessity, CCS will request the provider to submit additional information. There will be no further action on the SAR until CCS receives requested information.
How to access Medi-Cal eligibility data system?
Accessing Medi-Cal Eligibility Data System (MEDS) online. Calling the GHPP at 1-800-639-0597. You submit a request (retroactive) for a service you provided without GHPP approval or authorization to a client who has other health insurance coverage. If a client has other health care insurance, the GHPP is a secondary payer or payer of last resort.
What is the CMC number?
For more information, refer to the CMC section of the Part 1 provider manual or call the Telephone Service Center (TSC) at 1-800-541-5555.
What is a SAR for GHPP?
All requests for GHPP diagnostic and treatment services must be submitted using a Service Authorization Request (SAR) form. Only active Medi-Cal Providers may receive authorization to provide GHPP program services. Services may be authorized for varying lengths of time during the GHPP client’s eligibility period.
How to contact GHPP?
Calling the GHPP at 1-800-639-0597. You submit a request (retroactive) for a service you provided without GHPP approval or authorization to a client who has other health insurance coverage. If a client has other health care insurance, the GHPP is a secondary payer or payer of last resort. The GHPP will cover medically necessary services not ...
What is an outpatient drug?
outpatient drugs for which the manufacturer seeks to require that associated tests or monitoring services be purchased exclusively from the manufacturer or its designee as a condition of sale. barbiturates. benzodiazepines. You submit a request for a service that is not a GHPP benefit.
What are agents used for?
agents when used for anorexia, weight loss, or weight gain. agents when used to promote fertility. agents when used for cosmetic purposes or hair growth. agents when used for the symptomatic relief of cough and colds. prescription vitamins and mineral products.
Mailing Addresses
Certain types of correspondence requires different levels of separation to assist our office in getting provider's documentation and requests to the appropriate team.
State Specific Exceptions
Certain types of correspondence requires different levels of separation to assist our office in getting provider's documentation and requests to the appropriate team.
List of Claims Mailing Addresses
- BlueCard out-of-area program:
Check subscriber ID for three-letter prefix before sending. Learn more about the BlueCard Program. Blue Shield of California P.O. Box 1505 Red Bluff, CA 96080-1505 Phone:(800) 622-0632 - CalPERS
Blue Shield of California, CalPERS P.O. Box 272540 Chico, CA 95927-2540 Phone:(800) 541-6652
Where to Send Claims For Foundations For Medical Care
- When the name of a medical foundation appears on a subscriber's identification card, the benefits for that subscriber are administered by that foundation. Forward all claims to that foundation for payment. Listed below, by county, are the addresses of medical foundations with which Blue Shield is affiliated.
Misdirected Claims For HMO Plan Members
- Claims for capitated services provided to a Blue Shield HMO member that are erroneously sent to Blue Shield for processing/payment will be forwarded to the appropriate capitated provider within 10 working days of the receipt. Additionally, Blue Shield will send an Explanation of Benefits (EOB) to the billing provider as notification that the claim was forwarded to the appropriate capitated p…