Part A providers may use the Interactive Voice Response (IVR) to request routine claims, beneficiary eligibility and payment information. The IVR is available 24 hours a day to obtain general information. Beneficiary eligibility and claim status information is available between 6 a.m. and 8 p.m. ET. With a touch-tone phone, you can obtain the latest information on your claims and other Medicare issues. Palmetto GBA will continue to ensure that routine inquiries regarding claim status and beneficiary eligibility are handled through the IVR, which will allow representatives to be available to handle more difficult or complex issues. You may access the Part A IVR at 866-931-3899.
As additional information, Palmetto GBA is pleased to offer two new Part A IVR features, patient discharge status and overpayment information. More information about these new functions may be found in the IVR Job Aid.
Please see the following links for more guidance about the Part A IVR:
As an alternative to the IVR, Palmetto GBA is pleased to offer Online Provider Services (OPS), a free Internet-based, provider self-service portal. We encourage providers to use OPS for access to information on beneficiary eligibility, claim status, duplicate remittance notices, amounts of the last three checks issued to a provider, the amount approved to pay (on the payment floor) and many other helpful features.