Palmetto GBA - South Carolina Part B Carrier

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E-mail Contacts:
E-mail Palmetto GBA with your questions. Choose the topic that best describes your inquiry, then send us your question (please do not include any Protected Health Information). Note: We respond to inquiries in the order in which we receive them. Please allow us time to research your question in order to provide you with the best possible service.

Telephone Contacts:

Provider Inquiries	Hours of Operation (Monday-Friday, Eastern Time unless otherwise noted)	Contact Number
Provider Contact Center (PCC) Call the PCC for issues related to claims, billing, eligibility, provider education and other provider issues.	8:30 a.m. - 4:30 p.m.	CSRs: (888) 828-2092 Fax: (803) 935-0595
Interactive Voice Response (IVR) System Call the IVR for claim status, to order copies of the Standard Provider Remittance (SPR), eligibility inquiries, etc. See attached IVR Users Guide for helpful tips on using this system.	Patient eligibility and claim status: 6 a.m. - 9 p.m. Other transactions: 24 hours/ 7 days a week	(866) 238-9654
Technical assistance with electronic billing, Electronic Remittance Advice (ERA) and other EDI issues.	8 a.m. - 5 p.m.	(866) 749-4301 Fax: (803) 870-8035
Provider Outreach & Education Requests for workshops or meetings	24 hours/ 7 days a week	To schedule a speaker, dial (866) 238-9654 and select Option 8 from the main menu or use the 'Provider Outreach and Education Request Form' in every Advisory
To fax electronic claim documentation		Fax: (803) 264-4963
Beneficiary Inquiries All questions related to the Medicare program.	24 hours/ 7 days a week	1-800-MEDICARE ((800) 633-4227)

Written Correspondence Contact Information:

Physical address:

Palmetto GBA Government Programs Complex

Carolina Research Park

17 Technology Circle

Columbia, SC 29203

Department Specific Mailing Addresses:

Department	Address
All paper claims including Medicare Secondary Payer (MSP) claims	Palmetto GBA GM-220 P.O. Box 100190 Columbia, SC 29202-3190
General Inquiries General coverage and Medicare-related questions Crossover questions Questions regarding claim filing requirements Explanation of denial reasons IVR resources MSP resources Modifier guidelines Medical record documentation questions	Palmetto GBA Medicare Part B Provider Contact Center, AG-675 P.O. Box 100190 Columbia, SC 29202-3190
Redeterminations (first-level appeals)	Palmetto GBA Medicare Appeals, AG-655 P.O. Box 100190 Columbia, SC 29202-3190
MSP reviews and correspondence Receipt of two primary payments How to update a beneficiary’s primary/secondary record	Palmetto GBA AG-685 P.O. Box 100190 Columbia, SC 29202-3190
Provider Enrollment Enrollment (credentialing) questions Request CMS-855 B, I or R forms Change address, add a location, add a new member to a provider group Independent Diagnostic Testing Facility (IDTF) enrollment Electronic Funds Transfer (EFT) CMS 588 form Medicare Participating Physician or Supplier Agreement (PAR) CMS 460 form How to obtain a National Provider Identifier (NPI) Participation corrections IRS 1099 tax form corrections Consent Forms	Palmetto GBA Part B Provider Enrollment (AG-310) P.O. Box 100190 Columbia, SC 29202-3190
Responses to our requests for information ('automated development requests')	Palmetto GBA GM 220 P.O. Box 100190 Columbia, SC 29202-3190
Responses to our requests for medical records	Palmetto GBA AG-245 P.O. Box 100190 Columbia, SC 29202-3190
Financial correspondence with or without checks	Palmetto GBA Medicare Finance (AG-361) P.O. Box 100183 Columbia, SC 29202-0183
Disclosure Requests for Medicare guidelines or coverage issues Requests for hardcopy (paper) fee schedule information Medicare pricing for services not included in the fee schedules	Palmetto GBA Medicare Part B Provider Contact Center, AG-675 P.O. Box 100190 Columbia, SC 29202-3190
Freedom of Information Coordinator: All requests must contain your complete signature	Palmetto GBA FOIA Coordinator, AG-270 P.O. Box 100190 Columbia, SC 29202-3190 Fax: (803) 935-0248
Electronic Data Interchange (EDI) EDI enrollment and other EDI-related issues Administrative Simplification and Compliance Act (ASCA) Electronic Remittance Advice (ERA) Medicare Remit Easy Print (MREP) PC-Ace Pro 32 (Billing Software) EDI Tests	Palmetto GBA Medicare Part B EDI, AG-420 P.O. Box 100145 Columbia SC 29202-3145
Limiting Charges	Palmetto GBA Medicare Part B Provider Contact Center, AG-675 Palmetto GBA P.O. Box 100190 Columbia, SC 29202-3190
To report suspected fraud	Palmetto GBA AG-270 P.O. Box 100190 Columbia, SC 29202-3190

Still Have Questions?

You can find direct answers to your technical questions by visiting our Site Help page
Need to contact another Medicare department on this site? Go to our Site Contact page.
For help with technical problems using your computer on this Web site, e-mail Palmetto GBA for Technical Assistance
How are we doing? Contact the Centers for Medicare & Medicaid Services (CMS) POE Coordinator in writing about Palmetto GBA's service. Their mailing address is:

Marcia Pryce
Centers for Medicare & Medicaid Services (CMS) Region IV
61 Forsyth Street, S.W., Suite 4T20
Atlanta, GA 30303-8909

last updated on 07/17/2008

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