Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.
fax appeals
JJ Part B appeals (redeterminations) (AL, GA, TN)
Official page read
Phone
No phone listed for this route
Fax
803-870-0139
Published hours
Not published in this record
Product, plan and location
medicare Alabama · Georgia · Tennessee
Mailing addressPalmetto GBA
Part B Appeals - JJ
Mail Code: AG-655
P.O. Box 100306
Columbia, SC 29202-3306
JJ Part B appeals
Page hosted on Palmetto GBA's dmepdac.com web server (palmettogba.com blocks automated fetches). Fax/mail for JJ Part B redetermination requests when the eServices portal cannot be used. Courier: Palmetto GBA, Part B Appeals - JJ, Mail Code: AG-655, Building One, 2300 Springdale Drive, Camden, SC 29020-3305.
Mailing addressPalmetto GBA
Part A Appeals - JJ
Mail Code: AG-630
P.O. Box 100305
Columbia, SC 29202-3305
JJ Part A appeals
Page hosted on Palmetto GBA's dmepdac.com web server (palmettogba.com blocks automated fetches). Fax/mail for JJ Part A redetermination requests when the eServices portal cannot be used.
JM Part A appeals (redeterminations) (NC, SC, VA, WV)
Official page read
Phone
No phone listed for this route
Fax
803-699-2425
Published hours
Not published in this record
Product, plan and location
medicare Alabama · Arkansas · Florida · Georgia · Illinois · Indiana · Kentucky · Louisiana · Mississippi · North Carolina · New Mexico · Ohio · Oklahoma · South Carolina · Tennessee · Texas · Virginia · West Virginia
Mailing addressPalmetto GBA
Part A Appeals - JM
Mail Code: AG-630
P.O. Box 100238
Columbia, SC 29202-3238
JM Part A appeals (HH&H appeals use "HHH Appeals - JM" at the same box)
Page hosted on Palmetto GBA's dmepdac.com web server (palmettogba.com blocks automated fetches). Fax/mail for JM Part A redetermination requests. The JM Home Health & Hospice appeals page lists the same fax (803) 699-2425 (HHH Appeals - JM, same P.O. box).
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Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.
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Denial notice, remittance and reason codes
Previous appeal confirmation and decision
Supporting evidence and any required authorization to represent the member
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