JJ Part B IVR Flowchart - Palmetto GBA

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Tennessee providers, press 3. No NPI, PTAN, Tax ID available, or all other inquiries, press 0. Request copy of remittanc
PALMETTO GBA JJ PART B IVR FLOWCHART 1.877.567.7271

No NPI, PTAN, Tax ID available, or all other inquiries, press 0

Alabama providers, press 1 Georgia providers, press 2 Tennessee providers, press 3

Agent

Receive information on a specific claim or inquiry of a claim, press 1

Receive payment information, press 2

Check eligibility, benefits and deductible information, press 3

Request copy of remittance notice, press 4

Last Three Checks, press 2

Verification

Verification

Payment Floor Information, press 1

Verification

Payment Offset, press 3

Medicare Number

Medicare Number

Verification

Verification

Last 3 Checks Information Given

Payment Information Given

First 6 letters of patient’s last name

Verification

Claim information, press 1

Enter DOS

Repeat Information, press 1

Repeat Information, press 1

Change Provider Number, press 2

Change Provider Number, press 2

Information Given Claim correspondence history, press 2

Payment Info/ Last 3 Checks, press 3

Payment Floor Information, press 3

Check Number, press 1

Medicare Number, press 2

First 6 letters of patient’s last name

Check Number

Medicare Number

Information Given

Another Date, press 3

Payment Information, press 4

First letter(s) of patient’s first name

Part B benefits, deductible, MSP and Managed Care information given

Date of Service

Duplicate Remittance Order

Repeat Information, press 1 Additional Benefits Information, press 2 Part A Eligibility, press 3

13-digit Control #

Change Medicare Number, press 4 Main Menu, press 8

Information Given

Change Provider Number, press 5

Incarceration Information, press 6 Change Medicare Number, press 3

Change Verification, press 4

Medicare Number

Verification

Claims Menu

Claims Menu

Reopening on Denied Claim, press 5

DOS Requested

List of website addresses, press 7

How Medicare pays and redetermination information given

Main Menu, press 8

Main Menu, press 8 End Call, press 9 Speak to a CSR, press 0

Speak to a CSR, press 0

General information or hours of operation, press 8

General Eligibility Requirements, press 1 Managed Care/Rural Health Clinics, press 2

Payment Offset

Remittance Advice Date

First letter of patient’s first name

Date of Birth

Instructions on how Medicare pays and redetermination process, press 6

Web addresses for new legislation, provider issues, provider workshops and top 10 claim submission errors

Multiple surgery/ bundled services, press 3 How allowed amount determined, press 4

Beneficiary notice or elective surgery letter needed, press 5

Hours of Operation, press 6

Provider Outreach, press 7

Main Menu, press 8