Medicare Blog

who to call about a pa medicare claim

by Marina Cassin I Published 2 years ago Updated 1 year ago
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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.

Full Answer

How do I contact Medicare about a claim?

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. What state do you live in?

How do I file a complaint against a Medicare provider?

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.

How do I talk to a real person at Medicare?

For specific billing questions and questions about your claim, medical records, or expenses, log into MyMedicare.gov, or call us at 1-800-MEDICARE (1-800-633-4227). TTY users call 1-877-486-2048.

How long do doctors have to submit claims to Medicare?

Medicare is typically set up to take care of this for you. If you have Original Medicare (Parts A and B), your doctors and providers are required by law to submit claims to Medicare within 12 months of administering your service.

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What is the best way to contact 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 phone number is 800 633 4227?

For questions about Medicare benefits, call 1-800-MEDICARE (1-800-633-4227) or visit Medicare.gov. TTY users should call 1-877-486-2048.

Who do you call with questions about Medicare?

1-800-633-4227Visit Medicare.gov/about-us/nondiscrimination/accessibility-nondiscrimination.html, or call 1-800-MEDICARE (1-800-633-4227) for more information. TTY users can call 1-877-486-2048. Paid for by the Department of Health & Human Services.

What is the address for Medicare claims?

Medicare claim address, phone numbers, payor id – revised listStateAppeal addressArizonaAZMedicare Part B PO Box 6704 Fargo, ND 58108-6704MontanaMTMedicare Part B PO Box 6735 Fargo, ND 58108-6735North DakotaNDMedicare Part B PO Box 6706 Fargo, ND 58108-6706South DakotaSDMedicare Part B PO Box 6707 Fargo, ND 58108-670719 more rows

How do I ask Medicare a question?

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.

What is a Medicare claim number?

Your Medicare claim number contains 11 numbers and letters and is used to identify the services and goods that Medicare is billed on your behalf. You can find your Medicare claim number on your red, white and blue Medicare card. Your Medicare claim number is the same as your Medicare card number.

Can you call Medicare anytime?

The Medicare general enquiries line is available 7 days a week, 24 hours a day. Tags: Medicare.

When can you call Medicare?

1-800-MEDICARE is available 24 hours a day, 7 days a week, except some federal holidays.

How does Medicare Helpline work?

The Medicare Coverage Hotline is a private for-profit lead generation campaign and does not offer insurance and is not an insurance agency or broker. Your call is sold to a licensed insurance agent to give you information about your Medicare Advantage Plans.

Can I submit a claim directly to Medicare?

If you have Original Medicare and a participating provider refuses to submit a claim, you can file a complaint with 1-800-MEDICARE. Regardless of whether or not the provider is required to file claims, you can submit the healthcare claims yourself.

Can claims be mailed to Medicare?

The Administrative Simplification Compliance Act (ASCA) requires that Medicare claims be sent electronically unless certain exceptions are met. Providers meeting an ASCA exception may send their claims to Medicare on a paper claim form.

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.

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.

Contact Information for People with Medicare

Telephone numbers and web link information related to specific Medicare questions.

Contact Information for People with Medicaid

Medicaid is a state administered program and each state sets its own guidelines regarding eligibility and services. Please refer to the "Related Links" for a list of State Health Departments.

Contact information for CMS Regional Office

Provides contact information for your CMS Regional Office, and s pecific program issue contacts are also available as PDF download.

What is medical assistance?

Medical Assistance (MA), also known as Medicaid, pays for health care services for eligible individuals.

How to contact MA fee for service?

If you are eligible for MA, you may call the Fee-for-Service Recipient Service Center at 1-800-537-8862. They will provide you with a list of enrolled providers for MA patients. There is also a fee-for-service provider physician directory available.

What if I am not eligible?

Contact your CAO and a trained staff member will determine what programs might be available to you. You can explore these links to learn about additional health care programs available in Pennsylvania.

What is the phone number for the Consumer Service Center?

Telephone: Call the Consumer Service Center for Health Care Coverage at 1-866-550-4355.

Do you need to contact your MCO?

If you are enrolled in a managed care organization (MCO) , you will need to contact your specific plan.

What time does the provider assistance center open?

Hours of operation: Monday-Friday 7:30 a.m.– noon. and 1-4 p.m. Provider Assistance Center. For provider questions on electronic claims and transaction submissions and the Provider Electronic Submission (PES) software.

What is the number for the Intense Medical Case Management Unit?

1-800-766-5387. Hours of operation: 24 hours a day, 7 days a week. Intense Medical Case Management Unit. Assistance with individuals with complex needs and case management for catastrophic events and individuals in need of one-on-one support with a registered nurse. 1-800-537-8862.

What is a complaint?

File a complaint (grievance) Filing complaints about a doctor, hospital, or provider. Filing complaints about your health or drug plan. Filing a complaint about your quality of care. Complaints about your dialysis or kidney transplant care.

Can you file a complaint with Medicare?

You can file a complaint if you have concerns about the quality of care or other services you get from a Medicare provider. How you file a complaint depends on what your complaint is about.

How to file an appeal with Medicare?

For questions about a specific service you got, look at your Medicare Summary Notice (MSN) or log into your secure Medicare account . You can file an appeal if you disagree with a coverage or payment decision made by one of these: 1 Medicare 2 Your Medicare health plan 3 Your Medicare drug plan

What is improper care?

Improper care or unsafe conditions. You may have a complaint about improper care (like claims of abuse to a nursing home resident) or unsafe conditions (like water damage or fire safety concerns). To file a complaint about improper care or unsafe conditions in a hospital, home health agency, hospice, or nursing home, ...

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