JM Part A

If You've Contacted Us Recently, We Would Love to Hear About Your Experience!
Please give us feedback on your most recent interaction with Palmetto GBA across any of the following contact channels:

Telephone, Chat, Email, Mail, Social Media: Facebook, Twitter or LinkedIn

Your feedback helps us continue to improve the Provider Experience we deliver to you and others across our Provider Community. If you provide us with your contact information we will respond directly to you regarding your issues, concerns or comments.
To provide your feedback, please take our short survey by clicking on  Palmetto GBA Provider Experience Survey Button. Links to https://www.surveymonkey.com/r/JPYHTDN

 

Click on a department to be taken to that area's contact information:

Appeals
Beneficiary Customer Service Center
Checks For Overpayments
Cost Report
Credit Balance Reporting
Electronic Data Interchange (EDI)
eServices
Finance
Freedom of Information Act (FOIA) Requests
Medical Affairs
Medical Review
Medicare Secondary Payer (MSP)
Provider Audit
Provider Contract Center (PCC)
Provider Enrollment
Provider Outreach and Education (POE)
Provider Reimbursement
Review Contractor
Additional Questions
Feedback to the CMS
Website Feedback

 


 

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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 fiscal intermediary for Part A 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.



 Department Contact Information Type of Inquiry

Appeals

Palmetto GBA
Part A Appeals
Mail Code: AG-630
P.O. Box 100238
Columbia, SC 29202-3238
Fax: (803) 699-2425

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

  • Request for Redeterminations 
  • Redetermination Form 
Beneficiary Customer Service Center 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
Checks For Overpayments

Palmetto GBA
Medicare Part A Overpayments
Mail Code: AG-340
P.O. Box 100277
Columbia, SC 29202-3277

Provider Inquiries:
For inquiries regarding overpayments, please call the Provider Contact Center at 855-696-0705.

Fax Numbers:

  • To send any financial correspondence to the overpayment department by fax, please fax this information to (803) 419-3275.
  • To request an immediate offset, fax your request to (803) 462-2574.
  • Overpayments
  • Checks for cost report and credit balances
Cost Report

Cost Report Filing

Electronic Filing
https://mcref.cms.gov

Mailing Address
Palmetto GBA
Attn: Cost Report Acceptance
Mail Code: AG-330
P.O. Box 100144
Columbia, SC 29202-3144

Fed Ex/UPS/Certified Mail Address
Palmetto GBA
Attn: Cost Report Acceptance
Mail Code: AG-330
2300 Springdale Drive
Building One
Camden, SC 29020-1728

Cost Report Overpayment Address
(checks only)
Palmetto GBA
Medicare Finance
Mail Code: AG-260
P.O. Box 100277
Columbia, SC 29202-3277

  • Cost Reports 
  • Checks
Credit Balance Reporting Regular and Certified Mail
Palmetto GBA
Attn: Credit Balance Reporting
Mail Code: AG-340
P.O. Box 100109
Columbia, SC 29202-3109

Fed Ex/UPS/Overnight Courier
Palmetto GBA
Attn: Credit Balance Reporting
Mail Code: AG-340
2300 Springdale Drive
Building One
Camden, SC 29020-1728

Credit Balance Overpayment Address
(checks only):
Palmetto GBA
Medicare Finance
Mail Code: AG-260
P.O.Box 100277
Columbia, SC 29202-3277

Reports may be faxed to:
MCBR Receipts
Attn: Credit Balance Reporting
(803) 419-3277

If you have questions about your Credit Balance Report, please call the Provider Contact Center at: 855-696-0705.

  • Questions or concerns regarding credit balance reports
Electronic Data Interchange (EDI) for NC and SC

Email: Medicare.EDI@palmettogba.com

Provider Contact Center: 855-696-0705

  • EDI enrollment
  • Administrative Simplification and Compliance Act (ASCA)
  • Electronic Remittance Advice (ERA)
  • PC-ACE Pro 32 (billing software)
  • Direct Data Entry (billing software)
  • Other EDI-related issues 
  DDE Hours of Availability
  •  Monday to Friday 6 am - 8 pm ET
  •  Saturday 6 am - 4 pm ET
  • Sunday: Not Available
Electronic Data Interchange (EDI) for VA and WV NGS EDI Help Desk: 855-696-0705
  • EDI enrollment
  • Electronic Remittance Advice (ERA)
  • PC-ACE Pro 32 (billing software)
  • Direct Data Entry (billing software)
  • Other EDI-related issues 
eServices Provider Contact Center: 855-696-0705

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 A Interactive Voice Response (IVR) and contacting the Call Center.

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

Part A PCC Hours: 8 a.m. to 4:30 p.m. ET

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

  • Eligibility
  • Claims Status
  • Remittances Online
  • Financial Information (payment floor, last three checks paid, eOffset requests, and eCheck payments)
  • Appeals
  • Medical Review ADR Response Form
  • General Written Inquiry Request Form
  • CMS-838 Credit Balance Report Submission
  • Cost Report Form
Financial correspondence
with/without checks

Palmetto GBA
PO Box 100277
Columbia, SC 29202

 

Freedom of Information Act (FOIA) Requests

Palmetto GBA – Part A
FOIA Coordinator
Mail Code: AG-840
P.O. Box 100190
Columbia, SC 29202-3190

Email: FOIA@PalmettoGBA.com

  •  FOIA requests
Medical Affairs

Palmetto GBA
Medical Affairs
Mail Code: AG-275
P.O. Box 100238
Columbia, SC 29202-3238

Send emails to A.Policy@palmettogba.com.

  •  Local coverage determinations (LCDs)

 

 

Medical Review

Palmetto GBA
Part A Medical Review
Mail Code: AG-230
P.O. Box 100238
Columbia, SC 29202-3238

Please call the Provider Contact Center (PCC) at 855-696-0705 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) 699-2436
 

  •  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 Audit

Palmetto GBA
Provider Audit
Mail Code: AG-320
P.O. Box 100144
Columbia, SC 29202-3144

Palmetto GBA
Cost Report Appeals and Reopenings
Mail Code: AG-380
P.O. Box 100144
Columbia, SC 29202-3144

Email:
Filing of Cost Report Appeals
JMAudit.Appeals@PalmettoGBA.com

Filing of Cost Report Reopenings
JMAudit.Reopening@PalmettoGBA.com

  • Issues related to cost reports, desk reviews, audits and settlements
  • Issues related to the filing of cost report appeals and reopenings
Provider Contact Center Palmetto GBA 
Part A PCC
Mail Code: AG-840
P.O. Box 100238
Columbia, SC 29202-3238

Provider Contact Center: 855-696-0705

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 A Interactive Voice Response (IVR) and contacting the Call Center.

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

Part A PCC Hours: 8 a.m. to 4:30 p.m. ET

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

 
  • General coverage and Medicare-related questions
  • Crossover questions
  • Questions regarding claim filing requirements
  • Explanation of denial reasons
  • IVR resources
  • MSP resources
  • Modifier guidelines
  • Medical record documentation questions
  • Written Inquiries
  • eServices
  • Provider Enrollment

    Palmetto GBA
    Part A Provider Enrollment
    Mail Code: AG-331
    P.O. Box 100144
    Columbia, SC 29202-3144

    For inquiries regarding provider enrollment, please call the PCC at 855-696-0705.

    • 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
    Provider Outreach and Education (POE)

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

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

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

    Palmetto GBA
    Provider Reimbursement
    Mail Code: AG-330
    P.O. Box 100144
    Columbia, SC 29202-3144

    Phone Number: (855) 696-0705.

    Fax updated certificates for diabetes education, mammography and PET scan to the reimbursement department at (803) 935-0262.

    • Submission of interim rate information
    • Reimbursement issues
    • Reimbursement specialist
    • Submission of certificates

    Are you seeking Review Contractor information?

    This interactive map will show you the name and contact information for all review contractors by your state. This includes Unified Program Integrity Contractors (UPICs), Comprehensive Error Rate Testing (CERT) Contractor, Supplemental Medical Review Contractor (SMRC), Medicare Administrative Contractors (MACs) and Recovery Audit Contractors (RACs).

    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 JM Part A Medicare


      Provider Contact Center: 855-696-0705

      Email Part A

      Contact a specific JM Part A department

      Other Palmetto GBA Sites

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