When you receive a request from the financial department that will require a refund, we suggest that you request an Immediate Offset as opposed to mailing a check to Palmetto GBA.

 Advantages in requesting an immediate offset include: 

• Avoiding the possibility of checks 'crossing in the mail'
• Saving costs associated with check fees and postage
• Avoiding chance of interest accrual due to late receipt

To request an immediate offset, fax your request to 'Immediate Offset' to (803) 763-6980.

To ensure your request is handled appropriately, all requests must include: 

• A copy of the first page of the overpayment demand letter you received showing the Account Receivable/Invoice Number
• Indicate 'Immediate Offset' either on the demand letter or on the fax cover sheet
• A copy of the spreadsheet identifying the claims included in the overpayment if one was received
• The name and signature of the person requesting the immediate offset
• This person should be authorized to make the financial decision to request an immediate offset from future Medicare funds due to your office
• Please include the authorized person’s telephone number should we have questions

Please keep in mind that immediate offset requests can only be honored if there are pending payments in the Medicare claims processing system from which to offset. If there is an insufficient amount of pending payments to satisfy the overpayment, interest may be applied

Note: The above fax number is only for immediate offsets. Any other financial concerns should be sent in writing to the appropriate address below:

Medicare Part B SC
Palmetto GBA
SC Part B Overpayments (AG-342)
2300 Springdale Drive, Building One
Camden, SC 29020

Medicare Part B OH/WV 
Palmetto GBA
OH/WV Part B Overpayments
P.O. Box 182934
Columbus, OH 43218-2934