What actions are being taken to assist providers who do not have a one-to-one match with their PTANs and NPI?

Answer:

  • Providers may consider collapsing their Provider Transaction Account Numbers (PTANs) by rolling all of their PTANs into one number so there will be a one-to-one National Provider Identifier (NPI) PTAN match in the system. Not all providers are able to collapse. Therefore, requests to collapse will be referred to our Provider Enrollment area to see if you are eligible to collapse your PTANs. Providers who choose to not collapse will continue to get development letters whenever new claims are submitted.
  • CMS is aware of the issues that have been created by the use of NPI only and, along with the Medicare contractors, is looking at improvements to assist our system in selecting the appropriate PTAN when there is not a one-to-one match
  • Until enhancements or provider file changes have been completed, providers must return the development letters to ensure that their claims will not be rejected

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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