How do I file a claim with railroad Medicare?

Getting Started With Railroad Medicare Billing

1. Step 1: Ensure your enrollment information is correct with your local Part B Medicare Administrative Contractor (MAC)
2. Step 2: Request a Railroad Medicare PTAN.
3. Step 3: Receive your Railroad Medicare PTAN.
4. Step 4: File Electronically.
5. Step 5: Go Green — Electronic Remits.

What is Palmetto GBA Railroad Medicare?

Palmetto GBA is the Railroad Retirement Board Specialty Medicare Administrative Contactor (RRB SMAC). We process Part B fee-for-service claims for Railroad Medicare beneficiaries nationwide.

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.

Is Palmetto GBA the same as 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.

Does Railroad Medicare follow Medicare guidelines?

If you are already getting railroad retirement or social security benefits, you will receive information about the Medicare program a few months before you become eligible for coverage. At that time, you will automatically be enrolled in Medicare Parts A and B.

Is there a difference between Medicare and Railroad 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.

How do I find my Railroad Medicare claims?

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.

Where is Palmetto GBA located?

Columbia, South Carolina
Headquartered in Columbia, South Carolina, and part of the Celerian Group, our more than 2,300 associates in offices in Alabama, Georgia and South Carolina create value for government and commercial customers every day.

What states are covered by Palmetto GBA?

Palmetto GBA is the home health and hospice Medicare Administrative Contractor (HHH MAC) for home health and hospice providers in Alabama, Arkansas, Florida, Georgia, Indiana, Illinois, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee and Texas.

Is Railroad Medicare different from Medicare?

A: This can easily happen as the two Medicare cards are very similar. 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.

Is Railroad Medicare primary or secondary?

When Medicare began in the 1960s, it was the primary payer for all services except those covered by workers compensation.

How do I check my Railroad Medicare claims?

How much does Palmetto GBA pay?

Find out what an employee at Palmetto GBA earns in different roles, locations, and departments. Palmetto GBA employees earn an average salary of $36,256 in 2020, with a range from $19,000 to $67,000. SIGN UP

Is railroad Medicare different than Medicare?

There is not much difference between Railroad Medicare and regular Medicare. The first difference is that Railroad Medicare is given to railroad retirement annuitants. This type if Medicare extends to their families as well.

What is the phone number for railroad Medicare?

Most UPREHS Medicare members receive their Medicare benefits through the Railroad Retirement Board under Railroad Medicare. You can call your local Railroad Retirement Board office or 1-800- 808-0772 (calls to this number are free). The TTY number is 312-751-4701 (special telephone equipment required).

What is a railroad Medicare ptan?

Answer: Medicare requires that each provider have a unique PTAN for processing claims. Claims are processed within each Medicare Administrative Contractor or Legacy Contractor’s systems. Because Railroad Medicare is processing outside of your local Legacy Contractor/MAC systems, a unique PTAN is required for Railroad Medicare claims.