Full Answer
How do I contact the Medicare office?
For questions about your claims or other personal Medicare information, log into (or create) your secure Medicare account , or call us at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
How do I contact a Medicare Administrative Contractor (MAC)?
Visit the Medicare website or call 1-800-Medicare If you have a question specifically related to the content of this Medicare Administrative Contractor (MAC) website that was not covered above: Visit the top Frequently Asked Questions (FAQs) (PDF) about MACs or;
Who are the administrative contractors for Medicare?
Medicare Administrative Contractors Since Medicare’s inception in 1966, private health care insurers have processed medical claims for Medicare beneficiaries. Originally these entities were known as Part A Fiscal Intermediaries (FI) and Part B carriers.
What is a Medicare Part B Medicare claims mailing address?
These companies process claims made on services covered by Medicare Part B like medical services, lab tests and imaging, vaccines and durable medical equipment. Your specific Medicare claims mailing address can be found on your Medicare Summary Notice (MSN).
What type of organization handles the administrative operations for Medicare?
The Centers for Medicare & Medicaid Services combines the oversight of the Medicare program, the federal portion of the Medicaid program and State Children's Health Insurance Program, the Health Insurance Marketplace, and related quality assurance activities.
What does the Medicare administrative contractors do?
A Medicare Administrative Contractor (MAC) is a private health care insurer that has been awarded a geographic jurisdiction to process Medicare Part A and Part B (A/B) medical claims or Durable Medical Equipment (DME) claims for Medicare Fee-For-Service (FFS) beneficiaries.
What organization handles Medicare claims?
The federal agency that oversees CMS, which administers programs for protecting the health of all Americans, including Medicare, the Marketplace, Medicaid, and the Children's Health Insurance Program (CHIP).
Who is my Medicare fiscal intermediary?
Medicare Part B Services. Medicare Administrative Contractors (MACs) regionally manage policy and payment related to reimbursement and act as the fiscal intermediary for Medicare.
Who is the Medicare administrative contractor for California?
Noridian Healthcare SolutionsNoridian Healthcare Solutions is the Medicare Administrative Contractor for California and is responsible for processing all Medicare fee-for-service Part A and B claims.
Which has been replaced with Medicare administrative contractors?
In 2003 the Centers for Medicare & Medicaid Services (CMS) was directed via Section 911 of the Medicare Prescription Drug Improvement, and Modernization Act (MMA) of 2003 to replace the Part A FIs and Part B carriers with A/B Medicare Administrative Contractors (MACs) in accordance with the Federal Acquisition ...
How do I contact Medicare claims?
Call 1-800-MEDICARE For questions about your claims or other personal Medicare information, log into (or create) your secure Medicare account, or call us at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
Who is the head of Medicare?
On Tuesday, the Senate confirmed Chiquita Brooks-LaSure as the new administrator of the Centers for Medicare and Medicaid Services (CMS). She becomes the first Black woman to head the agency that administers health care for more than 100 million Americans, including and especially seniors.
How do providers call 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.
What does a fiscal intermediary do?
A Fiscal Intermediary (FI) is an organization that assists you to implement your Individual Support Agreement and to manage financial accountability and employer responsibilities. Fiscal Intermediaries are not service providers.
What is Department of health care Services fiscal intermediary?
A fiscal intermediary, sometimes called a Medicare Administrative Contractor, works with the federal government to help administer certain Medicare benefits and services. Learn more about how these companies work with federal programs like Medicare and Medicaid.
What is a fiscal intermediary carrier?
What Is a Fiscal Intermediary/Medicare Administrative Contractor? by David Levine | Published March 22, 2021 | Reviewed by John Krahnert. A fiscal intermediary (FI) is a privately held company that serves as an intermediary between two parties that are trying to work together to resolve conflicts.
What's a MAC and what do they do?
A Medicare Administrative Contractor (MAC) is a private health care insurer that has been awarded a geographic jurisdiction to process Medicare Part A and Part B (A/B) medical claims or Durable Medical Equipment (DME) claims for Medicare Fee-For-Service (FFS) beneficiaries.
DME MACs
The DME MACs process Medicare Durable Medical Equipment, Orthotics, and Prosthetics (DMEPOS) claims for a defined geographic area or "jurisdiction", servicing suppliers of DMEPOS. Learn more about DME MACs at Who are the MACs.
Relationships between MACs and Functional Contractors
MACs work with multiple functional contractors to administer the full FFS operational environment. Learn more about the relationships between the MACs and the functional contractors by viewing the diagram of MACs: The Hub of the Medicare FFS Program (PDF) and reading about what the functional contractors do at Functional Contractors Overview (PDF).
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.
