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Published 10/11/2021

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Appeals and Redeterminations
Beneficiary Customer Service Center
Checks for Overpayments
Cost Report
Credit Balance Reporting
Electronic Data Interchange (EDI)
DDE
eServices
Financial correspondence
Freedom of Information Act (FOIA) Requests
Medical Affairs
Medical Review
Medicare Secondary Payer (MSP)
Provider Audit
Provider Contact Center (PCC)
Provider Enrollment
Provider Outreach and Education (POE)
Provider Reimbursement
Review Contractor
Additional Questions
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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 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.

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.

Department	Contact Information	Type of Inquiry
Appeals and Redeterminations	U.S. Mail Palmetto GBA HHH Appeals Mail Code: AG-630 P.O. Box 100238 Columbia, SC 29202-3238 Fax: (803) 699–2425 Fed Ex/UPS/Certified Mail Address Palmetto GBA HHH Appeals Mail Code: AG-630 Building One 2300 Springdale Drive Camden, SC 29020	Request for redeterminations Redetermination form
Beneficiary Customer Service Center	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.
Checks For Overpayments	U.S. Mail Palmetto GBA Medicare HHH Overpayments Mail Code: AG-340 P.O. Box 100277 Columbia, SC 29202-3277 Telephone For inquiries regarding overpayments, please call the Provider Contact Center at 855–696–0705. Fax To send any financial correspondence to the overpayment department by fax, please fax this information to (803) 419–3275 To request an immediate offset, fax your request to (803) 462–2574	Overpayments Checks for cost report and credit balances
Cost Report Filing	Electronic Filing: https://mcref.cms.gov U.S. Mail Palmetto GBA Attn: Cost Report Acceptance Mail Code: AG-330 P.O. Box 100144 Columbia, SC 29202-3144 Fed Ex/UPS/Certified Mail Address Palmetto GBA Attn: Cost Report Acceptance Mail Code: AG-330 2300 Springdale Drive Building One Camden, SC 29020-1728 Cost Report Overpayment Address (Checks Only) Palmetto GBA Medicare Finance Mail Code: AG-260 P.O. Box 100277 Columbia, SC 29202-3277	Cost reports Checks
Credit Balance Reporting	Telephone If you have questions about your Credit Balance Report, please call the Provider Contact Center at: 855–696–0705. U.S. and Certified Mail Palmetto GBA Attn: Credit Balance Reporting Mail Code: AG-340 P.O. Box 100109 Columbia, SC 29202-3109 Fed Ex/UPS/Overnight Courier Palmetto GBA 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 Medicare Finance Mail Code: AG-260 P.O.Box 100277 Columbia, SC 29202-3277 Fax MCBR Receipts Attn: Credit Balance Reporting (803) 419–3277	Questions or concerns regarding credit balance reports
Electronic Data Interchange (EDI)	Email: EDIPartA.ENROLL@PalmettoGBA.com Provider Contact Center: 855–696–0705	EDI enrollment 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 a.m. – 8 p.m. ET Saturday: 6 a.m. – 4 p.m. ET Sunday: Not Available	Submit claims
eServices	Provider Contact Center: 855–696–0705 HHH PCC Hours: 8 a.m. – 5 p.m. ET 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 HHH Interactive Voice Response (IVR) and contacting the PCC. Call Flowchart (PDF, 340 KB) IVR User Guide (PDF, 293 KB) IVR Conversion Tool Email HHH to have your inquiry answered. Please do not include any Protected Health Information.	Eligibility Claims status Remittances on line Financial information Appeals Medical Review ADR Response form General Written Inquiry Request form CMS-838 Credit Balance Report submission Cost Report form
Financial correspondence (with or without checks)	U.S. Mail Palmetto GBA PO Box 100277 Columbia, SC 29202
Freedom of Information Act (FOIA) Requests	U.S. Mail Palmetto GBA — HHH FOIA Coordinator Mail Code: AG-840 P.O. Box 100190 Columbia, SC 29202-3190 Email: FOIA@PalmettoGBA.com	FOIA requests
Medical Affairs	U.S. Mail Palmetto GBA HHH Medical Affairs Mail Code: AG-300 P.O. Box 100238 Columbia, SC 29202-3238 Send emails to A.Policy@palmettogba.com.	Local coverage determinations (LCDs) Medicare Coverage Database (MCD) articles
Medical Review	Telephone Please call the Provider Contact Center (PCC) at 855–696–0705 for Medical Review questions. U.S. Mail Palmetto GBA HHH Medical Review Mail Code: AG-230 P.O. Box 100238 Columbia, SC 29202-3238 Fed Ex/UPS/Overnight Courier Palmetto GBA Mail Code: AG-230 2300 Springdale Drive, Building One Camden, SC 29020 Fax: (803) 699–2436	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	U.S. Mail Palmetto GBA Provider Audit Mail Code: AG-320 P.O. Box 100144 Columbia, SC 29202-3144 U.S. Mail Palmetto GBA Cost Report Appeals and Reopenings Mail Code: AG-380 P.O. Box 100144 Columbia, SC 29202-3144	Issues related to cost reports, desk reviews, audits and settlements Issues related to the filing of cost report appeals and reopenings
Provider Contact Center (PCC)	U.S. Mail Palmetto GBA HHH PCC Mail Code: AG-840 P.O. Box 100238 Columbia, SC 29202-3238 Provider Contact Center: 855–696–0705 HHH PCC Hours: 8 a.m. to 5 p.m. ET 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 HHH Interactive Voice Response (IVR) and contacting the PCC. Call Flowchart (PDF, 340 KB) IVR User Guide (PDF, 293 KB) IVR Conversion Tool Email HHH 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 questioinquiries eServices
Provider Enrollment	Telephone For inquiries regarding provider enrollment, please call the Provider Contact Center at 855–696–0705. U.S. Mail Palmetto GBA HHH Provider Enrollment Mail Code: AG-331 P.O. Box 100144 Columbia, SC 29202-3144 Fed Ex/UPS/Overnight Courier Palmetto GBA Home Health and Hospice Provider Enrollment 2300 Springdale Dr. Bldg. One Camden, SC 29020	Enrollment (credentialing) questions Request CMS-855 A, B, I or R forms Change address, add a location, 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)	U.S. Mail Palmetto GBA HHH POE Mail Code: AG-830 P.O. Box 100238 Columbia, SC 29202-3238 For education, please complete the Education Request form. To access this document, go to the Forms web page at www.PalmettoGBA.com/hhh/forms.	Educational training requests Request a speaker for association meetings in your state
Provider Reimbursement	U.S. Mail Palmetto GBA Provider Reimbursement Mail Code: AG-330 P.O. Box 100144 Columbia, SC 29202-3144 Telephone Provider inquiries, please call 855–696–0705. Fax Fax updated certificates for diabetes education to the reimbursement department at (803) 935–0262.	Submission of interim rate information Reimbursement issues Reimbursement specialist Submission of certificates

Are you seeking Review Contractor information?
This interactive map will show you the name and contact information for all review contractors by your state. This includes Unified Program Integrity Contractors (UPICs), Comprehensive Error Rate Testing (CERT) Contractor, Supplemental Medical Review Contractor (SMRC), Medicare Administrative Contractors (MACs) and Recovery Audit Contractors (RACs).

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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: OPOLE_IFM_ATL_Inq@cms.hhs.gov

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