Does Railroad Medicare accept paper claims?
Does Railroad Medicare accept paper claims?
Palmetto GBA Railroad Medicare continues to receive paper claims submitted on the old CMS-1500 (08/05) version claim form. Providers who are eligible to submit paper claims should verify the form version they are using before submitting any additional paper claims.
How do I submit an electronic claim to Railroad Medicare?
You can also enroll via fax or email by completing the PDF version of the Railroad Medicare EDI Enrollment packet (PDF, 206 KB). Submit all forms and supporting documentation via one of the following methods: Email: [email protected]. Fax: (803) 382–2416.
Does Railroad Medicare accept corrected claims?
In the case where a minor error or omission is involved, you can request that Railroad Medicare reopen the claim so the error or omission can be corrected rather than going through the written appeals process. Reopenings may be submitted in written form, over the telephone or through our eServices online portal.
How is Railroad Medicare different from regular Medicare?
A: The only difference is that retired railroad beneficiaries have their Part B benefits administered by the Palmetto GBA Railroad Retirement Board Specialty Medicare Administrative Contractor (RRB SMAC) regardless of where they live. Members should be certain to advise providers of this when they receive treatment.
Does Palmetto GBA accept paper claims?
Palmetto GBA will no longer accept paper claims printed on dot matrix printers. Paper claims are scanned and electronically entered into our processing system, and dot matrix printers produce type that is very light, which causes delays in processing your claims.
How do I verify Railroad Medicare eligibility?
Contact Railroad Medicare
- Provider Contact Center: 888-355-9165.
- IVR: 877-288-7600.
- TTY: 877-715-6397.
Is Palmetto GBA Medicare?
The federal Centers for Medicare & Medicaid Services (CMS) has selected Palmetto GBA as the Medicare Administrative Contractor for Jurisdiction J, which includes the states of Alabama, Georgia and Tennessee.
How do I check my Railroad Medicare claim status?
If you’d like to use the IVR, you can do so by calling 800–833–4455. From the main menu, press one (1) for claim status. You will need your Railroad Medicare number, date of birth, name, and date of service for the claim you are searching for. Claim status is available Monday thru Friday from 7 a.m. through 11 p.m. ET.
What is ANSI 5010 claim format?
ANSI 5010 Claim Format. ANSI 5010 is the newest standard adopted to transmit medical information securely and with as much detail as possible. Reading this information was never truly meant for human eyes to process, but for quick information it is good to know the basics and you can generally pick out what you are looking for…
Is there a crosswalk on the 1500 paper claim form?
The following chart provides a crosswalk for several blocks on the 1500 paper claim form and the equivalent electronic data in the ANSI ASC X12N format, version 5010. The blocks listed are the blocks required for electronic claims.
Is there a crosswalk on the 1450 (UB-04) claim form?
The following chart provides a crosswalk for several blocks on the 1450 (UB-04) paper claim form and the equivalent electronic data in the ANSI ASC X12N format, version 5010. The blocks listed are the blocks required for electronic claims.
Where can I find additional information about 5010 loops and segments?
For additional information regarding loops and segments, please access the 5010 Companion Guides ( JL) ( JH) and the 5010 Expectations. When necessary to send documentation (surgical notes, admission summary, etc.) with an electronic claim, please refer to Chapter 11 of the Electronic Billing Guide.
