I sent my claim to Railroad Medicare but the IVR and eServices indicate that it is not on file. Should I call and ask a representative to search for the claim?

Answer
No. The Interactive Voice Response (IVR) system, eServices, and customer service representatives access the same data to check claims information. If the IVR and/or eServices cannot locate the claim, please verify the information submitted on the claim is correct. 

If the claim was sent electronically using a clearinghouse or billing service, contact them for a receipt confirmation from Railroad Medicare. Also verify that your provider has an Electronic Data Interchange (EDI) agreement on file with Palmetto GBA Railroad Medicare.  Electronic claims for providers who are enrolled to submit electronic claims to Railroad Medicare should be submitted using EMC payer number 00882.

Paper claims must be submitted on a CMS 1500 (02/12) red-and-white claim form and mailed to:

Palmetto GBA Railroad Medicare
PO Box 10066
Augusta, GA 30999

Contact Railroad Medicare

Email Railroad Medicare

Contact a specific Railroad Medicare department

Provider Contact Center: 888-355-9165

IVR: 877-288-7600

TTY: 877-715-6397

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