where to send medicare claims address

Can you mail a claim to Medicare?

The final step in filing your own Medicare claim is to mail all the completed forms and documents to Medicare. This includes the Patient's Request for Medical Payment form, itemized bills, and any other supporting documents to your claim. You must file your Medicare claim by mail.Jul 30, 2020

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.

Where do I send Medicare Part B claims?

GBA Medicare Part B Claims.P.O. Box 6169 Indianapolis, IN 46206.

What form is used to send claims to Medicare?

CMS-1500Claim Form (CMS-1500) and Instructions The CMS-1500 claim form is used to submit non-institutional claims for health care services provided by physicians, other providers and suppliers to Medicare.

How do I make a Medicare claim on myGov?

Sign in to myGov and select Medicare. If you're using the app, open it and enter your myGov pin. On your homepage, select Make a claim. Make sure you have details of the service, cost and amount paid to continue your claim.Dec 10, 2021

How do I submit a claim to paper?

When you have to submit a claim on paper, follow these guidelines:Use only original claim forms (the ones printed in red). ... If you need to write on the claim for any reason, use blue or black ink. ... Do not submit totally handwritten claims.Make sure that the print on the claims is dark.More items...•Mar 26, 2016

Does Medicare accept paper claims?

The Administrative Simplification Compliance Act (ASCA) requires that as of October 16, 2003, all initial Medicare claims be submitted electronically, except in limited situations. Medicare is prohibited from payment of claims submitted on a paper claim form that do not meet the limited exception criteria.Oct 3, 2020

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 is the payer ID for Medicare?

Payer Name: Medicare - California (Southern California)|Payer ID: MR002|Professional (CMS1500)/Institutional (UB04)[Hospitals]

Who uses the paper CMS 1500 form?

The CMS-1500 form is the standard claim form used by a non-institutional provider or supplier to bill Medicare carriers and durable medical equipment regional carriers (DMERCs) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of ...Dec 1, 2021

How are CMS 1500 forms submitted?

How to Submit Claims: Claims may be electronically submitted to a Medicare carrier, Durable Medical Equipment Medicare Administrative Contractor (DMEMAC), or A/B MAC from a provider's office using a computer with software that meets electronic filing requirements as established by the HIPAA claim standard and by ...Dec 1, 2021

What is the difference between the CMS 1500 form and UB 04 form?

When a physician has a private practice but performs services at an institutional facility such as a hospital or outpatient facility, the CMS-1500 form would be used to bill for their services. The UB-04 (CMS-1450) form is the claim form for institutional facilities such as hospitals or outpatient facilities.

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...

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.

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 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 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 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.

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):

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.

Jurisdiction H (JH)

Novitas Solutions Attn: Part A Claims PO Box XXXX (replace the X's with the PO Box number from the table below) Mechanicsburg, PA 17055-XXXX (fill in the +4 from the table below)

Jurisdiction L (JL)

Novitas Solutions Attn: Part A Claims PO Box XXXX (replace the X's with the PO Box number from the table below) Mechanicsburg, PA 17055-XXXX (fill in the +4 from the table below)

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.

Priority Mailing Address

We encourage providers to send postal mail to the appropriate P.O. Box as listed below, but if you need to send Medicare documents via Priority mail or through a commercial courier (UPS, FedEx) for which a P.O. Box cannot be used, please use the following street address:

Paper Claims

This section contains the addresses for submitting initial claims (including MSP) and responding to development requests for additional information.

General Written Inquiries and Appeals

The addresses to submit redeterminations, clerical error reopenings, and general written inquiry requests have been consolidated for the JL region into one address.

Electronic Billing (EDI) Completed EDI Enrollment Forms

To enroll for electronic billing, please visit our Electronic Billing (EDI) Center and download the most recent version of EDI Enrollment forms. Please mail your completed EDI Enrollment forms to:

Provider Enrollment - Completed Provider Enrollment Forms

Paper enrollment forms / supporting documentation, hardcopy supporting documentation for Internet-based PECOS submitted applications, and other enrollment forms (e.g., CMS-460) must be sent through the U.S. mail. Please see below for the appropriate address.

Medical Director

Novitas Solutions - Office of the Medical Director Attn: Leslie Stevens, MD 2020 Technology Parkway, Suite 100 Mechanicsburg, PA 17050

Cashier ( Return of Monies to Medicare Form 8322)

When returning money to Medicare, all SOLICITED and UNSOLICITED money should be sent to the appropriate address listed below.