Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.
fax claims
JJ Part B medical review documentation (AL, GA, TN)
Official page read
Phone
No phone listed for this route
Fax
803-870-0135
Published hours
Not published in this record
Product, plan and location
medicare Alabama · Georgia · Tennessee
Mailing addressPalmetto GBA
Part B Medical Review
Mail Code: AG-230
P.O. Box 100306
Columbia, SC 29202-3306
JJ Part B medical review documentation
Page hosted on Palmetto GBA's dmepdac.com web server (palmettogba.com blocks automated fetches). Medical review forms and documentation (ADR responses) for JJ Part B.
JJ Part A medical review documentation (AL, GA, TN)
Official page read
Phone
No phone listed for this route
Fax
803-870-0131
Published hours
Not published in this record
Product, plan and location
medicare Alabama · Georgia · Tennessee
Mailing addressPalmetto GBA
Part A Medical Review
Mail Code: AG-230
P.O. Box 100305
Columbia, SC 29202-3305
JJ Part A medical review documentation
Page hosted on Palmetto GBA's dmepdac.com web server (palmettogba.com blocks automated fetches). Medical review forms and documentation (ADR responses) for JJ Part A.
JM Part A medical review documentation (NC, SC, VA, WV)
Official page read
Phone
No phone listed for this route
Fax
803-699-2432
Published hours
Not published in this record
Product, plan and location
medicare North Carolina · South Carolina · Virginia · West Virginia
Mailing addressPalmetto GBA
Part A Medical Review
Mail Code: AG-230
P.O. Box 100238
Columbia, SC 29202-3238
JM Part A medical review documentation
Page hosted on Palmetto GBA's dmepdac.com web server (palmettogba.com blocks automated fetches). Medical review forms and documentation (ADR responses) for JM Part A.
JM Part B medical review documentation (NC, SC, VA, WV)
Official page read
Phone
No phone listed for this route
Fax
803-699-2434
Published hours
Not published in this record
Product, plan and location
medicare North Carolina · South Carolina · Virginia · West Virginia
Mailing address
Not researched for this route
Page hosted on Palmetto GBA's dmepdac.com web server (palmettogba.com blocks automated fetches). Medical review forms and documentation fax for JM Part B. The page's mailing address uses Mail Code AG-310 at P.O. Box 100190, Columbia, SC 29202-3190.
Mailing addressPalmetto GBA
HHH Medical Review
Mail Code: AG-230
P.O. Box 100238
Columbia, SC 29202-3238
JM HH&H medical review documentation
Page hosted on Palmetto GBA's dmepdac.com web server (palmettogba.com blocks automated fetches). Medical review forms and documentation (ADR responses) for JM home health and hospice providers.
JJ Part B claims additional documentation and ADR responses (AL, GA, TN)
Official page read
Phone
No phone listed for this route
Fax
803-870-0161
Additional claim documentation (PWK)
Published hours
Not published in this record
Product, plan and location
medicare Alabama · Georgia · Tennessee
Mailing addressPalmetto GBA
P.O. Box 100306
Columbia, SC 29202-3306
JJ Part B paper claims and supporting documentation
Page hosted on Palmetto GBA's dmepdac.com web server (palmettogba.com blocks automated fetches). JJ Part B Claims page: fax additional documentation for claims to (803) 870-0161; fax ADR responses to (803) 870-0160. Paper claims and supporting documentation by US Mail to P.O. Box 100306.
Page hosted on Palmetto GBA's dmepdac.com web server (palmettogba.com blocks automated fetches). Fax for ADR responses listed on the JJ Part B Claims page (the Medical Review page lists (803) 870-0135 for medical review documentation).
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Call preparation · editorial guide
Make the call count.
Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.
Have ready in your secure workspace
Claim number, service dates and billed amount
Submission acknowledgement and remittance
Provider billing identifiers
Questions to resolve
Was the claim received and accepted for processing?
What specifically prevents payment or final processing?
Is a corrected claim, reconsideration or appeal the right route?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
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