JJ Part A

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

Appeals & Redeterminations
Checks for Overpayments
Contact Center for Providers
Cost Report Filing
Credit Balance Reporting
Customer Service Center (Beneficiary)
Electronic Data Interchange (EDI)
eServices
Financial Correspondence
Freedom of Information Act (FOIA) Coordinator
Medical Affairs
Medical Review
Medicare Secondary Payer (MSP)
Provider Audit
Provider Enrollment
Provider Outreach and Education (POE)
Provider Reimbursement
Zone Program Integrity Contractor (ZPIC)


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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 Part A/B 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.



 DepartmentMailing Address 

Appeals & Redeterminations

Palmetto GBA
Part A Appeals - JJ
Mail Code: AG-630
P.O. Box 100305
Columbia, SC 29202-3305
Fax: (803) 870-0138

For Fed Ex/UPS/Certified Mail
Palmetto GBA
Part A Appeals - JJ
Mail Code: AG-630
Building One
2300 Springdale Drive
Camden, SC 29020-3305

  • Request for Redeterminations
  • Redetermination Form
Checks For Overpayments

Palmetto GBA, LLC
P.O. Box 100312
Columbia, SC 29202-3312

Provider Inquiries:
For inquiries regarding overpayments, please call the Provider Contact Center at 877-567-7271.

Fax Numbers:
To request an immediate offset, fax your request to (803) 870-0148.

  •  Overpayments
  • Checks for cost report and credit balances
Contact Center for Providers

Palmetto GBA
Part A PCC
Mail Code: AG-840
P.O. Box 100305
Columbia, SC 29202-3305

Provider Contact Center:
877-567-7271

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 6:00 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

Cost Report Filing

If you have questions about your Cost Report, please call the Provider Contact Center at 877-567-7271.

Mailing Address
Palmetto GBA
Attn: Cost Report Acceptance
Mail Code: AG-390
P.O. Box 100307
Columbia, SC 29202-3307
 
Fed Ex/UPS/Certified Mail Address
Palmetto GBA
Attn: Cost Report Acceptance
Mail Code: AG-390
2300 Springdale Drive
Building One
Camden, SC 29020-1728

Cost Report Overpayment Address (checks only)
Palmetto GBA, LLC
JJA Checks
PO Box 100312
Columbia, SC  29202-3312

  •  Cost Reports
  • Checks
Credit Balance Reporting

Regular and Certified Mail
Palmetto GBA, LLC
Attn: Credit Balance Reporting
Mail Code: AG-340
P.O. Box 100308
Columbia, SC 29202-3308

Fed Ex/UPS/Overnight Courier
Palmetto GBA, LLC
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, LLC
Medicare Finance
Mail Code: AG-260
P.O. Box 100312
Columbia, SC 29202-3312
Reports may be faxed to:
MCBR Receipts
Attn: Credit Balance Reporting
(803) 870-0147

If you have questions about your Credit Balance Report, please call the Provider Contact Center at 877-567-7271.

Questions or concerns regarding credit balance reports

Customer Service Center (Beneficiary) 

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
Electronic Data Interchange (EDI)

Provider Contact Center:
877-567-7271

Email: Medicare.EDI@palmettogba.com 

  • 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

 

 eServices

Provider Contact Center:
877-567-7271

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 6:00 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
  • Appeals
  • Medical Review ADR Response Form
  • General Written Inquiry Request Form
Financial correspondence
with/without checks

Palmetto GBA, LLC -
PO Box 100312
Columbia, SC 29202-3312

 

Freedom of Information Act (FOIA) Coordinator

Palmetto GBA
FOIA Coordinator
AG-840
P.O. Box 100190
Columbia, SC 29202-3190

Email: FOIA@PalmettoGBA.com

All FOIA requests

Medical Affairs

Palmetto GBA
Medical Affairs
Mail Code: AG-275
P.O. Box 100305
Columbia, SC 29202-3305
Fax: (803) 870-0137

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 100305
Columbia, SC 29202-3305

Please call the Provider Contact Center (PCC) at 877-567-7271 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) 870-0131

  • 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-390
P.O. Box 100307
Columbia, SC 29202-3307
 
Palmetto GBA
Cost Report Appeals and Reopenings
Mail Code: AG-380
P.O. Box 100307
Columbia, SC 29202-3307

Email:
Filing of Cost Report Appeals
JJAudit.Appeal@PalmettoGBA.com
 
Filing of Cost Report Reopenings
JJAudit.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 Enrollment

Palmetto GBA
Part A Provider Enrollment
2300 Springdale Dr. Bldg. One
Camden, SC 29020

For inquiries regarding provider enrollment, please call the PCC at 877-567-7271.

  • 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 documents, go to the Forms web page at www.PalmettoGBA.com/JJA/forms

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

    Part A Provider Reimbursement
    Mail Code: AG-390
    P.O. Box 100307
    Columbia, SC 29202-3307

    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
    Zone Program Integrity Contractor (ZPIC) AdvancedMed, an NCI Company
    520 Royal Parkway, Suite 100
    Nashville, TN 37214
    Phone Number: (615) 871-2361
    • Fraud
    • Abuse
    • Questionable billing practices

    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.
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    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

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    Do you have website feedback? Contact our Webmaster

      Contact Palmetto GBA JJ Part A Medicare

      Provider Contact Center: 877-567-7271

      Email JJ Part A

      Contact a specific JJ Part A department



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