Medicare Egilibility via Palmetto GBA

Tuesday, November 30th, 2010

It used to be that if you need to check patient Medicare eligibility or claim status, you have only two options: Call the Interactive Voice Response (IVR) system at (866) 931-3903 Use the ANSI 270/271 Beneficiary Eligibility Inquiry transaction at the CMS data center Anybody who has used the IVR system knows it’s an annoying […]

Anybody Home in Palmetto GBA’s Provider Enrollment Dept?

Monday, October 25th, 2010

I’ve been trying to get through to Palmetto GBA’s Provider Enrollment Dept for the past 2 days.  Here’s a tip to get through.  Use two phone lines and alternately redial when the call goes directly to answering machine.  The message that says “ have reached this recording because we are experiencing higher than expected call […]

Can’t get through to Palmetto GBA Provider Enrollment

Wednesday, December 16th, 2009

Things are going from bad to worse.  Provider enrollment incorrectly linked one of our provider’s corporate tax id to his personal NPI and deny the entire batch of claims for lacking information.  I’m trying to enlighten them on this matter but have been able to get through to Provider Enrollment as ‘all circuits are busy’ […]

Palmetto Provider Enrollment Wait Time

Tuesday, October 27th, 2009

I called Palmetto Provider Enrollment and was on hold for almost 2 hours today! Wondering when are they going their act together?

Setting up Medicare Electronic Billing with Palmetto GBA

Thursday, October 22nd, 2009

It used to only take a couple of weeks to set up electronic billing with NHIC now it takes approximately 40 days and that is if you submit your request online.  Also, you can only submit online (Electronic Data Interchange Application Online Request Form) if the provider is already billing electronically.  Here’s the link: […]

LACMA: Palmetto Seminar

Friday, November 21st, 2008

Lacma and Palmetto are hosting two educational seminars on the J1-Post Transition on December 9, 2008 to address the issues provider are facing with the switch from NHIC to Palmetto. Free to Lacma members and cost is $100/person for non-members. Please see for full details.

Palmetto Requiring Complete Information on Providers To Update Any Changes

Tuesday, November 4th, 2008

We called in to Palmetto Provider Enrollment to follow up on an application sent in for one of our provider to change his correspondence address.  We were on hold for 2 hours and when we got thru, we were told that they needed a more completed application. When we asked why do we need to […]

More Palmetto GBA’s Bureaucracy

Monday, November 3rd, 2008

It is now 6 weeks into the transition and Palmetto’s Medicare CMS contract transition is still causing financial strain for thousands of clinics and providers.  So we thought it would be fun to track and share some of our own issues. Yes, Palmeto – you’re so special that we’ve created a whole section on our […]