How do I request immediate offset on an established overpayment due to Railroad Medicare?

Please follow these three steps to submit your immediate offset request:

  • Fax a copy of the overpayment detail listing page of the overpayment demand letter to (803) 382-2418. This page includes the account receivable number that you would like to have placed in immediate offset status.
  • Indicate Immediate Offset either on the overpayment detail listing page or on the fax cover sheet
  • Fax this request only once and keep your fax confirmation sheet that your fax machine generates as proof of your notification to Railroad Medicare. Faxing multiple copies of the same request causes a delay in processing the immediate offset.

If you have any questions about the immediate offset process, please call the Railroad Medicare provider contact center at 888-355-9165. Telephone representatives are available from 8:30 a.m. to 4:30 p.m. in all time zones with the exception of Pacific Time, which receives service from 8:30 a.m. to 4 p.m. PT.

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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