JJ Part B

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Palmetto GBA welcomes your comments and questions. You can get in touch with us in writing, by telephone or via email. Palmetto GBA is the Part A/B Medicare Administrative Contractor.

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.


If You Contacted Us Recently, We Would Love to Hear About Your Experience

We have developed a Provider Experience Survey for you to take to give us feedback on your customer service interactions with Palmetto GBA. This survey can be taken to give us feedback on contact made via:
• Chat
• Telephone
• Email
• Mail
• Social Media - Facebook, Twitter or LinkedIn

We value your feedback and hope you will take a moment to complete our short, seven question survey.

 DepartmentMailing Address 

Appeals & Redeterminations

Palmetto GBA
Part B MAC
P.O. Box 100306
Columbia, SC 29202-3306

For Fed Ex/UPS/Certified Mail
Palmetto GBA
Part B Appeals - JJ
Mail Code: AG-630
Building One
2300 Springdale Drive
Camden, SC 29020-3305

Request for Redeterminations  

Claims:
All Paper Claims
Palmetto GBA
P.O. Box 100306
Columbia, SC 29202-3306
Includes Medicare Secondary Payer (MSP) claims
Contact Center for Providers

Provider Contact Center: 877-567-7271

Our PCC Representatives are ready to answer your questions about billing problems and other issues.

Please see the following links for more guidance about the Part B Interactive Voice Response (IVR) and contacting the Call Center.

IVR Flowchart (PDF, 74 KB) 
Call Flowchart (PDF, 95 KB)
IVR Conversion Tool

Part B PCC Hours: 8 a.m. to 6:00 p.m. ET

Email 
Email Part B to have your inquiry answered. Please do not include any Protected Health Information.

Palmetto GBA 
Attn. JJ Medicare Part B
P.O. Box 100306
Columbia, SC 29202-3306

 

The PCC responds to issues related to claims, billing, eligibility, provider education and other provider issues.  

Telephone corrections
• Call this line for a claim correction ('telephone reopenings')
• Note: Restrictions apply

Electronic Data Interchange
• Technical assistance with electronic billing, electronic remittance advice (ERA) and other EDI issues

Provider Enrollment
• Assistance with provider enrollment, including completion of CMS-855 applications.

Customer Service Center (Beneficiary) 

1-800-Medicare (1-800-633-4227)
TTY: 877-486-2048  

Visit the Medicare website at www.medicare.gov

All questions related to the Medicare program
Electronic Data Interchange (EDI)

Provider Contact Center:
877-567-7271

Email: Medicare.EDI@palmettogba.com 

 

 

  • 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)
 eServices Provider Contact Center: 877-567-7271

Our PCC Representatives are ready to answer your questions about billing problems and other issues.

Please see the following links for more guidance about the Part B Interactive Voice Response (IVR) and contacting the Call Center.

IVR Flowchart (PDF, 74 KB) 
Call Flowchart (PDF, 95 KB)
IVR Conversion Tool

Part B PCC Hours: 8 a.m. to 6:00 p.m. ET

Email 
Email Part B to have your inquiry answered. Please do not include any Protected Health Information.

 
  • Eligibility
  • Claims Status
  • eClaim Submissions
  • Clerical Error Claim Reopening Requests
  • Remittances Online
  • Financial Information
  • Appeals
  • Medical Review ADR Response Form
  • General Written Inquiry Request Form
  • Prior Authorization Request Form  
Financial correspondence
with/without checks

Palmetto GBA - Part B Finance & Accounting
PO Box 100313
Columbia, SC 29202-3313

 Use eServices to: 
• Submit an electronic payment to satisfy an overpayment
• Request Immediate offset (individual or ongoing).
Download the Extended Repayment Schedule (ERS) at PalmettoGBA.com/Medicare

Freedom of Information Act (FOIA) Coordinator

Palmetto GBA
FOIA Coordinator
AG-840
P.O. Box 100190
Columbia, SC 29202-3190

Email: FOIA@PalmettoGBA.com

  •  All requests must contain your complete signature
  • Requests for Medicare guidelines or coverage issues
  • Requests for hardcopy (paper) fee schedule information
  • Medicare pricing for services not included in the fee schedules
Medical Affairs

Palmetto GBA
Medical Affairs
Mail Code: AG-275
P.O. Box 100305
Columbia, SC 29202-3305
Phone: (803) 763-5007
Fax: (803) 870-0137

Send emails to B.Policy@palmettogba.com

Local coverage determinations (LCDs)

 

 

Medical Review

Palmetto GBA
Part B Medical Review
Mail Code: AG-230
P.O. Box 100306
Columbia, SC 29202-3306

Please call the Provider Contact Center (PCC) at 877-567-7271 for Medical Review questions.

Fed Ex/UPS/Overnight Courier
Palmetto GBA
Mail Code: AG-230
2300 Springdale Drive, Building One
Camden, SC 29020

Fax: (803) 870-0131

Responding to Additional Documentation Requests (ADRs)

Responses to our requests for medical records

 

 

Medicare Secondary Payer (MSP)

For questions/concerns related to MSP records, contact the Benefits Coordination & Recovery Center (BCRC) at: 855-798-2627 (TTY/TDD at 855-797-2627 for the hearing and speech impaired). Customer Service Representatives are available to provide you with quality service Monday through Friday from 8 a.m. to 8 p.m. ET, except holidays.

 

Mailing addresses are available on the CMS website.

 

  •  MSP questions
  • Questions regarding beneficiary's primary or secondary records

 

Provider Outreach and Education (POE)

Palmetto GBA
Part B POE
Mail Code: AG-830
P.O. Box 100238
Columbia, SC 29202-3238

For education, please complete the education Request Form. To access this documents, go to the Forms Web page at www.PalmettoGBA.com/JJB/forms

  • Educational training requests
  • Request a speaker for association meetings in your state
Provider Enrollment

Palmetto GBA
Mail Code: AG-310
P.O. Box 100306
Columbia, SC 29202-3306 

Fed Ex/UPS/Overnight Courier
Palmetto GBA
Mail Code: AG-310
2300 Springdale Drive
Building One
Camden, SC 29020-1728

  • Enrollment (credentialing) questions
  • Request CMS-855 B, I or R forms
  • Change address, add a location or 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
Zone Program Integrity Contractor (ZPIC)

AdvancedMed, an NCI Company
520 Royal Parkway, Suite 100
Nashville, TN 37214

Phone Number: (615) 871-2361

Website: www.nciinc.com/about-us/advancemed

  • Fraud
  • Abuse
  • Questionable billing practices

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 website, email Palmetto GBA's Technical Assistance 

Feedback to the Centers for Medicare & Medicaid Services (CMS)
If you would like to send any feedback to CMS regarding your experiences with Palmetto GBA, please direct your comments to:

POE Coordinator
CMS Division of Financial Management & Fee-for-Services Operations
61 Forsyth Street, S.W., Suite 4T20
Atlanta, GA 30303-8909
Email: ROATLFM@CMS.HHS.GOV

Website Feedback
Do you have website feedback? Contact our Webmaster.

    Contact Palmetto GBA JJ Part B Medicare

    Provider Contact Center: 877-567-7271

    Email JJ Part B

    Contact a specific JJ Part B department



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