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Query:
New Member Registration
Login Information
Step 1.
Select a user name and password that you will use to log in to the PalmettoGBA.com site. You will need to enter your password twice for validation.
Username*
* Tip: Do NOT use your e-mail address as the username or password
Password*
* Use a minimum of 6 characters
* Case sensitive and character sensitive
Confirm Password*
Contact Information
Step 2.
Enter your contact information.
First Name*
Middle Initial*
Last Name*
E-Mail Address*
User Information
Step 3.
Select at least one Medicare contract of interest for your business.
You can select more than one choice by Shift-click or Ctl-click. Use Ctl-click to de-select options.
Medicare contract:
Jurisdiction 1 Part A
Jurisdiction 1 Part B
National Supplier Clearinghouse
Part A - North Carolina
Part A - South Carolina
Part B - Ohio/West Virginia
Part B - South Carolina
Railroad Medicare (RRB)
Regional Home Health & Hospice Intermediary (RHHI)
I am not a supplier / provider.
I am a supplier
Other
Provider/Supplier #:
*optional
*If entering multiple numbers, separate them with a comma.
Send me an e-mail notification of the receipt of my credit balance report
+
** Part A Only
Specialty Listserv
Step 4.
Select your specialty area(s) of interest. Palmetto GBA will send you e-mail notifications when new information is available on specialty area(s) of interest.
Beneficiary
General
Online Provider Services
National Supplier Clearinghouse (NSC)
Part A - North Carolina
Part A - South Carolina
Part B - South Carolina
Part B - Ohio / West Virginia
Regional Home Health & Hospice Intermediary (RHHI)
Railroad Medicare (RRB)
Jurisdiction 1
LA & MS Part A EDI
J1 WPS Transition
You have chosen:
General//Web Site Announcements
Step 5.
How did you learn about the Palmetto GBA Listserv?
Please select from the options below.
Select one:
IVR/Telephone Contact
Letter
Medicare Advisory
Note with Summary Provider Remittance (SPR) Notice
Special Mailing
State Associations
Workshop/Seminar
Web Site
Other
Submit
Step 6.
Register
Clear Entries