JM Part B

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Provider Outreach and Education
For education, please fill out the Provider Outreach and Education Request form.

Department Specific Mailing Addresses: 

Department
Mailing Address

 Appeals; Redeterminations (first-level appeals)

 

Palmetto GBA
Part B MAC
P.O. Box 100190
Columbia, SC 29202-3190
Fax: (803) 699-2427
Claims: All paper claims (including Medicare Secondary Payer (MSP) claims)
Palmetto GBA
Mail Code: AG-600
P.O. Box 100190
Columbia, SC 29202-3190
Electronic Data Interchange (EDI)
  • 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)
  • EDI tests

Provider Contact Center:
855-696-0705
 

Automated Documentation Requests
Responses to our requests for information

Palmetto GBA
Mail Code: AG-600
P.O. Box 100190
Columbia, SC 29202-3190

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

Fax: (803) 699-2434
  

 Medical Record Requests and Responses 

 

Palmetto GBA
Mail Code: AG-230
P.O. Box 100190
Columbia, SC 29202-3190
General Inquiries
  • General coverage and Medicare-related questions
  • Crossover questions
  • Questions regarding claim filing requirements
  • Explanation of denial reasons
  • IVR resources
  • Medicare Secondary Payer (MSP) resources
  • Modifier guidelines
  • Medical record documentation questions
Palmetto GBA
Mail Code: GM-215
P.O. Box 100190
Columbia, SC 29202-3190 
 
Fax: (803) 699-3582 

Financial correspondence with/without checks

Palmetto GBA - Part B Finance & Accounting

PO Box 100246

Columbia, SC 29202

Fraud (To report suspected fraud) Palmetto GBA
Mail Code: GM-215
P.O. Box 100238
Columbia, SC 29202-3238 
Freedom of Information Act (FOIA) Coordinator
  • 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
 
Palmetto GBA
FOIA Coordinator
AG-840
P.O. Box 100190
Columbia, SC 29202-3190
MSP reviews and correspondence
  • Receipt of two primary payments
  • How to update a beneficiary’s primary/secondary record
Palmetto GBA
KA-100
P.O. Box 100238
Columbia, SC 29202-3238  
Provider Enrollment
  • 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
Palmetto GBA
Mail Code: AG-310
P.O. Box 100190
Columbia, SC 29202-3190  

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

Provider Inquiries
855-696-0705
(Monday-Friday, 8 a.m. - 4:30 p.m. ET)

 
Provider Contact Center (PCC)
  • Call the PCC for issues related to claims, billing, eligibility, provider education and other provider issues
Please see the following links for more guidance about contacting the Part B IVR and Call Center:
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.
Email Contacts:
Email Palmetto GBA with your questions. Choose the topic that best describes your inquiry and send us your question. Please do not include any Protected Health Information.

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.

Beneficiary Inquiries
All questions related to the Medicare program.
24 hours/7 days a week

1-800-MEDICARE
(800-633-4227)

Still have additional questions?

 

 You can find direct answers to your technical questions by visiting our Site Help 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:

Attn: POE Coordinator
CMS Division of Financial Management & Fee-for-Services Operations
61 Forsyth St. SW, STE 4T20 
Atlanta, GA 30303-8909
Email: ROATLFM@CMS.HHS.GOV

    Contact Palmetto GBA JM Part B Medicare

    Email Part B

    Contact a specific JM Part B department

    Provider Contact Center: 855-696-0705

    TDD: 866-830-3188

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