Palmetto Gba Provider Portal Login (2024)

FAQs

Is palmetto gba the same as Medicare or Medicare? ›

Palmetto GBA is the company that handles Medicare claims on behalf of the Centers for Medicare & Medicaid Services (CMS) for your jurisdiction (Alabama, Georgia, and Tennessee).

If you have access to claims status and are successfully logged in to eServices, click on the Claims tab. The claims status screen will appear. In addition to the other required fields, you must enter the patient's Medicare number for the claims you seek. The date range for the date of service is optional.

A Submitter ID is used to transmit EDI transactions to Palmetto GBA. A DDE ID is used to access the Direct Data Entry (DDE) claims processing system to enter claims on-line.

Palmetto GBA is pleased to offer eServices, our free Internet-based, provider self-service portal. The eServices application provides information access over the Web for the following online services: Eligibility. Medicare Beneficiary Identifier (MBI) Lookup. Claims Status.

Group Benefits Associate—GBA

The Group Benefits Associate (GBA) designation is valuable education for those working with health and other group benefits.

Palmetto GBA processes Part A, fee-for-service Medicare claims for Medicare beneficiaries through home health agencies and hospices in the following states: Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee and ...

Claims may be filed to Palmetto GBA electronically (this applies to most Medicare providers) or on paper if certain conditions or exceptions exist (PDF). For additional assistance, please review the EDI Enrollment Instruction Guide Module.

Provider Contact Center (PCC) – Call 888–355–9165

Call our Provider Contact Center for Customer Service inquiries, technical support for EDI and the eServices portal, provider enrollment inquiries, and to request a telephone reopening.

Rejected claims must be corrected and resubmitted no later than 12 months from the date of service.

If you completed your EDI enrollment through EDISS, your can easily retrieve your Submitter ID from the EDISS Connect website. NOTE: Submitter IDs are required for any Medicare within the Noridian Jurisdiction, such as California.

What is the payer ID for Palmetto GBA Railroad Medicare? ›

Also verify that your provider has an Electronic Data Interchange (EDI) agreement on file with Palmetto GBA Railroad Medicare. Electronic claims for providers who are enrolled to submit electronic claims to Railroad Medicare should be submitted using EMC payer number 00882.

A Submitter ID is an additional identifier number used specifically for the electronic claims submission process.

Palmetto GBA is the Railroad Specialty Medicare Administrative Contractor (RRB SMAC) and processes Part B claims for Railroad Retirement beneficiaries nationwide.

On August 29, 2024, the Centers for Medicare & Medicaid Services (CMS) announced that Palmetto GBA, LLC (Palmetto) has been awarded a contract for the administration of Medicare Fee-for-Service claims in the states of Alabama, Georgia, Tennessee.

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.

Palmetto GBA is the Railroad Specialty Medicare Administrative Contractor (RRB SMAC) and processes Part B claims for Railroad Retirement beneficiaries nationwide. Palmetto GBA is contracted by the RRB.

A Medicare Advantage Plan is another way to get your Medicare coverage besides Original Medicare. A Medigap policy is a supplement to Original Medicare coverage. When you're getting started with Medicare, you can either buy Medigap or enroll in a Medicare Advantage Plan, but you can't have both.

Medicare Supplement Insurance (Medigap) is extra insurance you can buy from a private company that helps pay your share of costs.

If you are diagnosed with prostate cancer, you may have to undergo prostate surgery, radiation therapy, hormone therapy, chemotherapy, immunotherapy, or other treatment plan depending on your situation. With Medicare, you have coverage for all of these services under your Part B insurance.