Medicare - Phone#, IVR Instructions, Appeal Forms & Appeal Status

1) Noridian Healthcare Solutions:
I) The services are available for Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming.
  • IVR/Customer Service Representative Phone#: 1-877-908-8431.
  • Appeal Forms

II) The services are available for California, Hawaii, Nevada, American Samoa, Guam, Northern Mariana Islands.
  • IVR/Customer Service Representative Phone#: 1-855-609-9960.
  • Appeal Forms 

2) Medicare FL/First Coast Service Option Inc:
  • The services are available for Florida, Puerto Rico, US Virgin Islands.
  • IVR Phone#: 1-877-847-4992 / Customer Service Representative Phone#: 1-866-454-9007.
  • IVR Guide
  • Appeal Forms

3) Novitas Solutions:
I) The services are available for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, Texas, Indian Health & Veteran Affairs.

II) The services are available for Pennsylvania, New Jersey, Maryland, District of Columbia, Delaware.

4) Palmetto GBA:
I) The services are available for Virginia, South Carolina, North Carolina, West Virginia.
II) The services are available for Alabama, Georgia and Tennessee.

5) CGS Administrators, LLC:
  • The services are available for Kentucky & Ohio.
  • IVR Phone#: 1-866-290-4036 / Customer Service Representative Phone#: 1-866-276-9558.
  • IVR Guide
  • Appeal Forms

6) Wisconsin Physicians Service Insurance Corporation:
I) The services are available for Iowa, Kansas, Missouri, Nebraska.
  • IVR/Customer Service Representative Phone#: 1-866-518-3285.
  • Appeal Forms

II) The services are available for Indiana & Michigan.
  • IVR/Customer Service Representative Phone#: 1-866-234-7331.
  • Appeal Forms

7) National Government Services (NGS) administers:
I) The services are available for Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont.
  • IVR Phone#: 1-877-869-6504/Customer Service Representative Phone#: 1-866-837-0241.
  • IVR Guide
  • Appeal Forms

II) The services are available for Illinois, Minnesota, Wisconsin.

8) Palmetto Railroad Medicare:
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28 comments:

  1. MEDICARE COLUMBIA SOUTH CAROLINA?

    ReplyDelete
    Replies
    1. If you are looking for phone number of Medicare of South Carolina then it is 1-855-696-0705. It is also available in the above list.

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  2. nca comp -worker comp provider number?

    ReplyDelete
    Replies
    1. You should this information to your supervisor.

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  3. Medicare NGS Customer Service Representative Phone# 866-234-7340 for Illinois, Minnesota, Wisconsin

    ReplyDelete
    Replies
    1. We have updated this phone# in the above list.

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  4. what is contact number for California?

    ReplyDelete
    Replies
    1. Contact number for Medicate California is added in the above list.

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  5. how to get benefits from medicare massachusets, when we called medicare they asked what is PTAIN number after that they ask what is the last five digits of TIN number can you please explain what is TIN number and how can i get TIN number please reply me as soon as possible
    thnkx

    ReplyDelete
    Replies
    1. It is necessary to have NPI, PTAN and last 5 digits of TIN (Tax Identification Number) when connecting to Medicare. NPI and TIN information can be obtained through claim form but ask your client for PTAN (Sometimes it is available in your software).

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    2. thnku so much for the information i really apperiate you

      Delete
  6. Thank you for providing that information

    ReplyDelete
  7. What is BCBS of GA Provider phone number?

    ReplyDelete
    Replies
    1. It is 800-241-7475 and it is already available on the below page,

      https://www.arlearningonline.com/2020/01/insurance-phone_26.html

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  8. I have a suggestion. You should also make lectures on Plans and denial scenarios. Like HMO plan PPO Managed care and their characteristics.

    ReplyDelete
  9. Not able to down load apeal form

    ReplyDelete
    Replies
    1. When you open the form, there is an option to print. You can click on that and then save it as PDF. Please try and let us know if you are still facing an issue.

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  10. Is there any portal of Medicare for Oklahoma state ?

    ReplyDelete
    Replies
    1. Yes, below is the link.

      https://www.novitas-solutions.com/webcenter/portal/MedicareJH/pagebyid?contentId=00024343

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  11. can you provide us guidelines about CPT 90759 ?

    ReplyDelete
    Replies
    1. Please visit below CMS link to check the guidelines of CPT 90759,

      https://www.cms.gov/files/document/r11322cp.pdf

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  12. thats awesome

    ReplyDelete