Medicare of California Southern – J1
| State | Payer ID | Phone# | Website | |
| Florida | FL | 09102 | 877-847-4992 | https://medicare.fcso.com/ |
| Georgia | GA | 10202 | 877-567-7271 | https://www.cahabagba.com/ |
| Hawaii | HI | 01212 | 855.609.9960 | http://www.noridianmedicare.com/ |
| Idaho | ID | 02202 | 877-908-8431 | https://med.noridianmedicare.com/ |
Full Answer
Where do I Send my Medicare claim?
The address for where to send your claim can be found in 2 places: On the second page of the instructions for the type of claim you’re filing (listed above under "How do I file a claim?"). On your "Medicare Summary Notice" (MSN).
Where do I Send my Medicare Part B form?
Medicare Part B Claims P.O. Box 660031 Dallas, TX 75266-0031: Medicare Part B Claims P.O. ...
How do I file a health insurance 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: The completed claim form (Patient Request for Medical Payment form (CMS-1490S) [PDF, 52KB]) The itemized bill from your doctor, supplier, or other health care provider
What is georgiacares for Medicare?
Georgia State Health Insurance Counseling and Assistance Program: GeorgiaCares is a volunteer-based program that provides information to Medicare beneficiaries and their caregivers. These services are complimentary and supported in part by a grant from the Center for Medicare and Medicaid Services.
Where do you mail Medicare claims to?
Medicare claim address, phone numbers, payor id – revised listStateClaim mailing addressAlabamaALAlabama Medicare Part B Claims PO Box 830140 Birmingham, AL 35283-0140GeorgiaGAGeorgia Medicare Part B Claims PO Box 12847 Birmingham, AL 35202-2847TennesseeTNTennessee Part B Claims PO Box 12086 Birmingham, AL 35202-208620 more rows
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.
Can you mail in Medicare claims?
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.
What Medicare jurisdiction is GA?
Jurisdiction CJurisdiction C is serviced by CGS and includes Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virginia, West Virginia and the US Virgin Islands.
What form is used to send claims to Medicare?
CMS-1500 claim formThe CMS-1500 claim form is used to submit non-institutional claims for health care services provided by physicians, other providers and suppliers to Medicare.
What is Medicare Part B claims address?
Mailing AddressesWho to WriteAddresses and Additional InformationAppealsClaimsJ15 — Part B/HHH Claims CGS Administrators, LLC PO Box 20019 Nashville, TN 37202Congressional InquiriesCGS Administrators, LLC J15 Part A/B Correspondence PO Box 20018 Nashville, TN 3720212 more rows
Where is the main office for Medicare?
Baltimore, MDCenters for Medicare & Medicaid Services / Headquarters
Does Medicare accept secondary paper claims?
The primary insurer must process the claim in accordance with the coverage provisions of its contract. 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.
What is the first step in submitting Medicare claims?
The first thing you'll need to do when filing your claim is to fill out the Patient's Request for Medical Payment form. ... The next step in filing your own claim is to get an itemized bill for your medical treatment.More items...•
What states are in Medicare Region B?
DME MAC Jurisdiction B - DME FactsJB processes FFS Medicare DME claims for Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin.Total Number of Fee-for-Service Beneficiaries: 6,148,172 (as of 9/30/2021)Total Number of Suppliers: 16,106 (as of 9/30/2021)More items...•
What is jurisdiction D for Medicare?
DME MAC Jurisdiction D – DME Facts JD processes FFS Medicare DME claims for Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Northern Mariana Islands, Oregon, South Dakota, Utah, Washington, and Wyoming.
What is Medicare jurisdiction?
United StatesCenters for Medicare & Medicaid Services / Jurisdiction
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...
About Medicare in Georgia
Medicare beneficiaries in Georgia may choose to enroll in Original Medicare, Part A and Part B, which is administered by the federal government. Al...
Types of Medicare Coverage in Georgia
Original Medicare provides inpatient hospital care coverage under Medicare Part A, and doctor services, some preventive care, and durable medical e...
Local Resources For Medicare in Georgia
1. Medicare Savings Programs in Georgia: Beneficiaries whose income is below a certain limit may qualify for assistance from a Medicare savings pro...
How to Apply For Medicare in Georgia
To qualify for Medicare, you must be either a United States citizen or a legal permanent resident of at least five continuous years.You apply for M...
How to apply for medicare in Georgia?
You apply for Medicare in Georgia as you would in any state: by visiting your local Social Security Administration office, registering online, or enrolling over the phone. Visit the Social Security website. Call Social Security at 1-800-772-1213 (TTY users should call 1-800-325-0778), Monday through Friday, 7AM to 7PM.
How many Medicare Supplement Plans are there in Georgia?
Most states (including Georgia) can offer up to 10 Medicare Supplement plans. Each plan is labeled by a letter, such as Plan G. The plan benefits are standardized, meaning that Plan G coverage is the same no matter where you purchase it, but the price of a plan may be different from one insurance company to another.
What is GeorgiaCares?
Georgia State Health Insurance Counseling and Assistance Program: GeorgiaCares is a volunteer-based program that provides information to Medicare beneficiaries and their caregivers. These services are complimentary and supported in part by a grant from the Center for Medicare and Medicaid Services.
What is Medicare Advantage?
Alternatively, you can choose Medicare Advantage (available through private Medicare-approved insurance companies), which must offer everything that’s covered under Part A and Part B (except for hospice care), and may include other benefits such as routine dental services and prescription medication coverage.
What is the number to call for Social Security?
Call Social Security at 1-800-772-1213 (TTY users should call 1-800-325-0778) , Monday through Friday, 7AM to 7PM. If you worked for a railroad, call the Railroad Retirement Board at 1-877-772-5772 (TTY users call 312-751-4701), Monday through Friday, 9AM to 3:30PM.
Does Medicare Supplement cover gaps?
Medicare Supplement plans are insurance policies that may be purchased to cover “gaps” in Part A and Part B coverage like premiums, deductibles, copayments, and coinsurance.
Does Medicare Part D cover prescription drugs?
Not every plan may be available in each county, and costs may vary. Again, you may want to make sure the plan you choose covers any medications you’re taking.
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Contact Georgia Medicaid
Medicaid is a medical assistance program that provides low-income families with access to free and low-cost medical care. The Department of Community Health also administers the PeachCare for Kids® program, a comprehensive health care program for uninsured children living in Georgia.
How long does Medicare take to respond to a request?
How long your plan has to respond to your request depends on the type of request: Expedited (fast) request—72 hours. Standard service request—30 calendar days. Payment request—60 calendar days. Learn more about appeals in a Medicare health plan.
How to ask for a prescription drug coverage determination?
To ask for a coverage determination or exception, you can do one of these: Send a completed "Model Coverage Determination Request" form. Write your plan a letter.
What is an appeal in Medicare?
An appeal is the action you can take if you disagree with a coverage or payment decision by Medicare or your Medicare plan. For example, you can appeal if Medicare or your plan denies: • A request for a health care service, supply, item, or drug you think Medicare should cover. • A request for payment of a health care service, supply, item, ...
What to do if you didn't get your prescription yet?
If you didn't get the prescription yet, you or your prescriber can ask for an expedited (fast) request. Your request will be expedited if your plan determines, or your prescriber tells your plan, that waiting for a standard decision may seriously jeopardize your life, health, or ability to regain maximum function.
How long does it take to appeal a Medicare denial?
You, your representative, or your doctor must ask for an appeal from your plan within 60 days from the date of the coverage determination. If you miss the deadline, you must provide ...
How long does it take for a Medicare plan to make a decision?
The plan must give you its decision within 72 hours if it determines, or your doctor tells your plan, that waiting for a standard decision may seriously jeopardize your life, health, or ability to regain maximum function. Learn more about appeals in a Medicare health plan.
How long does it take to get a decision from Medicare?
Any other information that may help your case. You’ll generally get a decision from the Medicare Administrative Contractor within 60 days after they get your request. If Medicare will cover the item (s) or service (s), it will be listed on your next MSN. Learn more about appeals in Original Medicare.
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When Do I Need to File A Claim?
- You should only need to file a claim in very rare cases
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 Medicar…
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…