Palmetto GBA
^ Back to Top
Close Window [x]
  • J11 HHH
  • J11 Part A
  • J11 Part B
  • NSC
  • Railroad Beneficiaries
  • Railroad Providers
 
+
Railroad


Auxilary Aids & Services

For information about the availability of beneficiary auxiliary aids and services, please call our Beneficiary Contact Center at 800-833-4455.

MLN
Bookmark E-mail Print Digg It! Tweet FB Like Show/Hide Google+ line
Standard Font Serif Font Decrease Font Size Increase Font Size

Railroad Medicare
What are common prefixes for Railroad Medicare claim numbers?

Answer:
Have you ever gone to bill a claim to Railroad Medicare and thought to yourself, 'This number is different!' What's so different about a Railroad Medicare Beneficiary's Claim Number? For starters, Railroad Medicare numbers are distinguishable from Social Security Administration (SSA) Medicare numbers because the letters are in the front.

Railroad Medicare claim numbers begin with one, two or three letters, and have six or nine digits after the letters. That's right, the number may not always be the person's 9-digit social security number! This is one of the reasons that you should view the beneficiary's card to verify the number prior to billing Railroad Medicare.

The letters in front of the number identify the claimant. The following is a list of common Railroad Medicare prefixes.

Alpha CharacterDescription
Railroad retiree - file established when the employee was alive
MA Spouse of the Railroad retiree
MH Spouse of the retiree - employee on Railroad pension when Act passed in 1937
H Employee on Railroad pension when Act passed in 1937
WA Widow(er) of the retiree - file established when the employee was alive
WH Widow(er) - employee on Railroad pension when Act passed in 1937
WD Widow(er) of the retiree - file established after the retiree deceased
WCA Disabled child of the retiree - file established while the retiree was alive
WCD Disabled child of the retiree - file established after the retiree deceased
WCH Survivor of disabled child, of retiree - on Railroad pension when Act passed in 1937
CA Disabled child of the retiree - file established when the employee was alive
PA Survivor parent - file established while employee was alive
PD Survivor parent - file established after employee deceased
PH Survivor parent - employee on Railroad pension when Act passed in 1937

Railroad Medicare beneficiaries have the same benefits as SSA beneficiaries but one national processor, Palmetto GBA Railroad Medicare, for all their Part B claims.

Providers can request claim status automatically by calling the Railroad Medicare Interactive Voice Response (IVR) system at 877-288-7600. The automated line is available Monday through Friday, from 7 a.m. to 11 p.m. ET.

 

last updated on 12/03/2014
ver 1.0.51