answer inquiries from beneficiaries or their representatives. J6 processes FFS Medicare Part A and Part B claims for Illinois, Minnesota, and Wisconsin; Total Number of Fee-for-Service Beneficiaries: 2,839,003 (as of 09/30/2019) Total Number of Physicians: 80,218 (as of 09/30/2019) Total Number of Medicare Hospitals: 439 (as of 09/30/2019) Visit Noridian's COVID-19 page for information and guidance related to COVID-19.. Visit the CMS Current Emergencies page for information and updates related to COVID-19 and to access the Accelerated and Advanced Payments Fact Sheet .. To support our suppliers, a COVID-19 Hotline has been established to help with COVID-19 related inquiries. ET. As a result, NGS has developed an IVR system to assist you in answering many general questions with additional assistance. Providers using secure gateway “esMD” may submit records by designating CERT. Please view our holiday schedule to learn when the National Government Services PCC is closed. Following this procedure will ensure there is no delay in processing the documentation. Indianapolis, IN 46207-7108. CMS.gov/Providers - Section of the CMS.gov website that is designed to provide Medicare enrollment information for providers, physicians, non-physician practitioners, and other suppliers. (CID number on CERT record request, cover sheet, or bar-coded cover sheet). Centers for Medicare & Medicaid Services Offices. Box Mailing Addresses to find the correct address to send your written inquiry to for your state. Box 6131 Indianapolis, IN 46206-6131. Note: To effectively service all callers, each call is limited to three inquiries. If you require immediate attention, please contact our Provider Contact Center at (866) 518-3285, or use our Live Chat feature on our website. Once completed, print and either fax to 317-841-4584 or mail to the appropriate address as indicated on the form. See your browser's documentation for specific instructions. Please review the following information for a better understanding of the types of inquiries the CCRs are available to assist you with. Note: The PCC will close twice a month for training and staff development. Find out how to file a complaint (also called a "grievance") if you have a concern about the quality of care or other services you get from a Medicare provider. ?1dmy&urile=wcm%3apath%3a%2FNGSMedicareContentNEW%2FNGSMedicareNEW%2FHeader%2FContact%2BUs%2FHHH_Provider%2BContact%2BCenter, Alaska, Arizona, California, Hawaii, Idaho, Nevada, Oregon, Washington, American Samoa, Guam, Northern Mariana Island, Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont, Michigan, Minnesota, New York, New Jersey, Wisconsin, Puerto Rico, U.S. Virgin Islands, Patient's last name and first name or initial (date of birth may be needed). Additional Medical Policy contact information is listed below. and ongoing provider outreach and education. All Regions: For further information please contact the PCC located under Contact Us. The purpose of the COB program is to identify the health benefits available to a Medicare beneficiary and to coordinate the payment process to prevent mistaken Medicare payment. answer inquiries from beneficiaries or their representatives. Fax: 317-913-6590. On October 25, 2013, the Medicare Part B workload will be transition from NHIC, Corp. Medicare to. Providers submitting documentation via CD should send the password to certmail@admedcorp.com; use the CID number in the subject line of your email (no PHI). The National Government Services Provider Contact Centers will be closed in 2020 to observe the following corporate holidays: The National Government Services Provider Customer Care Department has direct telephone lines available for provider enrollment inquiries. If you are unable to use NGSConnex, then you may download and input your inquiry directly onto the Medicare Correspondence Request Form. Don’t wait: Medicare Advantage Open Enrollment ends March 31 ... A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Note: Based on CMS requirements, if you call a Customer Care Representative with a question that can be answered by the IVR or in NGSConnex, you will be referred back to those self-help tools. Show — Main navigation Hide — Main navigation. National Government Services Action. This form is not intended for our Medicare providers or beneficiaries. Please use the following toll-free provider enrollment number for your region: Please Note: Provider enrollment representatives will only be able to assist those listed as the contact person on the application, the provider themselves, and/or the authorized/delegated official for the practice. Requests for documents covered by the FOIA must be submitted to the following address in writing. Comments will only be considered if submitted during the formal comment period. Fax: 317-913-6590. In addition, the 277 response is designed to enable automatic posting of the status information to patient accounts, again eliminating the need for manual data entry by provider staff members. For NCDs 110.4 and 210.3, denials relative new ICD-10 codes may be submitted as appeals. 1510 East Parham Rd. CMS also requires providers to use these self-service options. The CMS requires that Medicare contractors offer self-service options to their providers for general inquiries. Provider Contact Center (PCC) - View hours of availability, call flow, authentication details and customer service areas of assistance. Telephone (888) 815-3313 — TTY 711 (888) 320-1284 (fax) Talk to a Licensed Sales Agent/Producer today! 7500 Security Boulevard, Baltimore, MD 21244 The Interactive Voice Response (IVR) system is available to answer a variety of your inquiries, including claim status, beneficiary eligibility, redetermination status, financial information, and more. Please have the following information ready when you call so we can help answer your questions as quickly as possible: All Regions: For further information please contact the Provider Contact Center (PCC) located under Contact Us. Customer Service Re… Pinnacle Medicare Services Attn: Claims P.O. Be prepared to have the following information available: Note: You are allowed three attempts to correctly provide your NPI, PTAN and last five digits of your TIN. We encourage you to send business mail via the USPS. Box 6131 Indianapolis, IN 46206-6131. Note: Based on CMS requirements, if you call a Customer Care Representative with a question that can be answered by the IVR or in NGSConnex, you will be referred back to those self-help tools. Our Provider Contact Center Representatives are available to assist you with more complex inquiries that require extra time and attention. External User Services PO Box 792750 San Antonio, Texas 78279 • Medicare Fee-for-Service Provider Enrollment Contact Information • Helpful Resources: • G ett ing Star t edWth Int rn -bas PECO • Medicare Provider-Supplier Enrollment • Provider-Supplier Enrollment Fact Sheet • Revalidation • Medicare … Note: There is no need for the provider to encrypt the email. CMS also requires providers to use these self-service options. View the P.O. 877-908-9499. The PCC closures for training will be 12:00 p.m.–4:00 p.m. provide claim status, beneficiary eligibility, or any other information that is available through NGSConnex or the IVR system; provide information on what modifiers, diagnosis codes, preauthorize any type of service or supply; and. This application is not fully accessible to users whose browsers do not support or have Cascading Style Sheets (CSS) disabled. The IVR is maintained on a separate line from our Customer Care Representatives and is available beyond the normal contact center hours. Please send all draft comments to PartBLCDComments@anthem.com. 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Once completed, print and either fax to 317-841-4584 or mail to the appropriate address as indicated on the form. For NCDs 20.9, 20.34, 190.11 and 260.9, National Government Services (NGS) is in the process of modifying internal editing to allow processing for claims with the new ICD-10 diagnosis codes. Send . Provider Action The CMS requires that Medicare contractors offer self-service options to their providers for general inquiries. CMS Comments on Noridian - Access address in which providers may offer comments to CMS concerning Noridian's performance.. Congressional Inquiries - Congressional offices may receive inquiries from constituents regarding their Medicare services. Box 6131 Indianapolis, IN 46206-6131. clarify why a claim processed the way it did; assist with general Medicare information/billing questions; assist with other complex issues that cannot be addressed through the IVR system. CMS has central offices located in Baltimore, MD and Washington, D.C., and ten regional offices located throughout the country. Provider Contact Center ) *) Interactive Voice Response System * ... Other Medicare Contacts. ET. NGSConnex allows you to access a wide array of Medicare tools and information, such as: NGSConnex is available at https://www.NGSConnex.com and offers you superior search capabilities that will help make it fast and easy for you to find the information without having to call the National Government Services PCC. As a trusted partner to federal government for over 50 years, we bring unmatched customer service, health care services delivery, federal health IT knowledge and program delivery execution. You may also check claim status and beneficiary eligibility online through the CSI/BE system. Box 8150 Little Rock, AR 72203 Phone: (866) 345-0274: www.pinnaclemedicare.com: Louisiana: LA: 1-877-567-7204: Pinnacle Medicare Services Attn: LA Claims P.O. Box 1418 Little Rock AR 72203: Pinnacle Medicare Services P.O. Next Holiday Closures: Friday, December 25, 2020 Friday, January 1, 2021. * There has been no change to the P.O. The following provider information is required on ALL written correspondence and inquiries: In most cases, NGS will respond via letter to the provider address on file within 45 business days. Otherwise, submit inquiry on official letterhead with provider’s name and address(s). View the P.O. Touch tone is also available throughout the application, as needed. Continue as a Guest Also from NGS. ET. The IVR system is available 24-hours a day, seven days a week. This schedule was determined based on our lowest call volume times to reduce impact to our providers. The page could not be loaded. P.O. Beneficiary eligibility and entitlement information, View your provider/supplier demographic information, Investigational device exemptions (or to make, Assistance with the CMS-855 form completion, and, Section of the application you are questioning (if applicable), Copyright 2020 - National Government Services. Contact your State Health Insurance Assistance Program (SHIP) for local, personalized Medicare counseling. This page requires Javascript. CMS has central offices located in Baltimore, MD and Washington, D.C., and ten regional offices located throughout the country. Information you can obtain includes: patient eligibility, claim status, deductibles, check information and some general information. * IVR hours represent general availability for access to all menu options. Provider Enrollment inquiries that require assistance of a representative should be made to the applicable customer service jurisdiction telephone number and during the specified time. ET. Be prepared to have the following information available: Note: You are allowed three attempts to correctly provide your NPI, PTAN and last five digits of your TIN. The Benefits Coordination & Recovery Center (BCRC) consolidates the activities that support the collection, management, and reporting of other insurance coverage for Medicare beneficiaries. Show — Main Menu Hide — Main Menu. Please Note: General inquiries related to Medicare coverage policies, local and national coverage determinations, billing and reimbursement must be directed to the Provider Contact Center. SOLUTIONS We are a trusted partner anticipating customers’ needs and delivering services … Henrico, VA 23228. Menu options that require system access (e.g., CWF) are limited to that systems availability. If you want Medicare to be able to give your personal information to someone other than you, you need to fill out an " Authorization to Disclose Personal Health Information ." Saturday: 7:00 a.m.–3:00 p.m. Please refer to addresses found on demand letters and overpayment recovery forms to make payments on debts to the Medicare Trust Fund. Monday–Friday: 6:00 a.m.–7:00 p.m. Menu options that require system access (e.g., the Common Working File) are limited to that systems availability. CERT Documentation Center Box 8082 Little Rock AR 72203: Pinnacle Medicare Services P.O. Web Content Viewer. Please review the following information for a better understanding of the types of inquiries the CCRs are available to assist you with. Box 6131 The BCRC does not process claims or claim-specific inquiries. This Medicare helpful contacts tool will provide you with contact information for specific organizations or help you get answers to your Medicare related questions. The Medicare Administrative Contractors, (MACs), intermediaries, an… The IVR uses natural language and text-to-speech technology that responds to your voice. Provider Enrollment Provider Enrollment The National Government Services Provider Customer Care Department has direct telephone lines available for provider enrollment inquiries. NGSConnex Claims information & appeals. NGSConnex allows you to access a wide array of Medicare tools and information, such as: NGSConnex is available at https://www.ngsconnex.com and offers you superior search capabilities that will help make it fast and easy for you to find the information without having to call the National Government Services PCC. The IVR is available 24-hours a day, seven days a week. This page requires Javascript. Find Medicare health care professional and group practice office locations, contact information, profiles, and quality data for medical care near you. For assistance with NGSConnex, contact us by using one of the numbers below: JK Part A/B/FQHC States: CT, MA, ME, NH, NY, RI, VT J6 Part A/B States: IL, MN, WI Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/ Part B Contractor National Government Services, Inc. 877-908-8476 Provider Enrollment, P.O. The following provider information is required on ALL written correspondence and inquiries: In most cases, NGS will respond via letter to the provider address on file within 45 business days. Modify your browser's settings to allow Javascript to execute. Scripting is used to manage data interactions between the Siebel server/Web Server and the User Interface. When draft LCDs are available, comments can be made by viewing drafts on the Medicare Coverage Database and selecting the ‘Draft Contact’ email link at the end of the LCD. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Visit NGSMedicare.com for secure communication with National Government Services. ET. Contact; NGS - Medicare Telehealth Services for Part B Providers. CMS has central offices located in Baltimore, MD and Washington, D.C., and has ten regional offices located throughout the country. Possible System Dark Day for Part B Providers as a Result of the JK A/B MAC Transition. ET on the 2nd and 4th Friday of each month for all locations. ; Revalidation Notice Sent List - Check to see if you have been sent a notice to revalidate your information on file with Medicare. * Closed for training on the 2nd and 4th Friday of the month from 12:00–4:00 p.m. *IVR hours represent general availability for access to all menu options. Otherwise, submit inquiry on official letterhead with provider’s name and address(s). Downstate: Bronx, Columbia, Delaware, Dutchess, Greene, Kings, Nassau, New York, Orange, Putnam, Queens County, Richmond, Rockland, Suffolk, Sullivan, Ulster, West Chester, Upstate: Albany, Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Cortland, Erie, Essex, Franklin, Fulton, Genesee, Hamilton, Herkimer, Jefferson, Lewis, Livingston, Madison, Monroe, Montgomery, Niagara, Oneida, Onondaga, Ontario, Orleans, Oswego, Otsego, Rensselaer, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, Steuben, St. Lawrence, Tioga, Tompkins, Warren, Washington, Wayne, Wyoming, Yates. For information not available on the IVR or the CSI/BE system, you may contact our Provider Customer Service hotline. LCD Comments *IVR system hours represent general availability for access to all menu options. NGSConnex is the National Government Service web application developed just for you! This requires JavaScript to be enabled in the web browser ET Javascript is disabled in this browser. The following is required for claim-specific inquiries: The National Government Services PCC CCRs are available to assist you with a wide-range of Medicare coverage and billing-related inquiries. This schedule was determined based on our lowest call volume times to reduce impact to our providers. the new National Government Services JK A/B MAC. Indianapolis, IN 46206-6131. NGSMedicare.com is committed to providing an outstanding experience for Medicare providers and suppliers across Jurisdictions 6 and K. CustomLoginPortlet. To fully comply with this requirement effective 5/14/2018, if you contact the PCC, and the information you are requesting is available via the IVR or NGSConnex, the PCC will be required to direct you to the IVR or NGSConnex to obtain the information. National Government Services, Inc. We have facilities throughout the nation to better service the program needs of our clients and grow our relationships with a range of partners. Monday–Friday: 6:00 a.m.–7:00 p.m. Submit inquiries to the NGS CMDs at NGSCMD@anthem.com, only on clinical issues related to Medicare coverage. Please Note: Based on CMS requirements, if you call a Customer Care Representative with a question that can be answered by the IVR, or in NGSConnex, you will be referred back to those self-help tools. Menu options that require system access (e.g., the CWF) are limited to that systems availability. The USPS delivers to specific post office boxes allowing for faster receipt, timely processing and enhanced service to you. CMS has central offices located in Baltimore, MD and Washington, D.C., and ten regional offices located throughout the country. See your browser's documentation for specific instructions. Box Mailing Addresses to find the correct address to send your written inquiry to for your state. NGSConnex is the National Government Services online portal Web application developed by National Government Service just for you! WPS GHA provides a Portal User Manual that provides step-by-step instructions on how to use the portal. Provider Enrollment Telephone Numbers . Modify your browser's settings to allow Javascript to execute. The National Government Services PCC CCRs are available to assist you with a wide-range of Medicare coverage and billing-related inquiries. Next Holiday Closures:   Friday, December 25, 2020Friday, January 1, 2021. Please note the following county assignments for downstate and upstate New York. The following is required for claim-specific inquiries: Please view our holiday hours schedule to learn when the National Government Services PCC will be closed. If you are a Medicare beneficiary and have a question about Medicare, such as: how to sign up for Medicare/change plans; Medicare cost, coverage, or supplement insurance (Medigap) Visit the Medicare website or call 1-800-Medicare This application currently does not support browsers with "JavaScript" disabled. P.O. ET on the 2nd and 4th Friday of each month for all locations. To fully comply with this requirement effective 5/14/2018, if you contact the PCC, and the information you are requesting is available via the IVR or NGSConnex, the PCC will be required to direct you to the IVR or NGSConnex to obtain the information. The CMS requires that Medicare contractors offer self-service options to their providers for general inquiries. Contact Us. 855-834-5596 Provider Enrollment, P.O. Centers for Medicare & Medicaid Services Offices. Coordination of benefits (COB) allows plans that provide health and/or prescription coverage for a person with Medicare to determine their respective payment responsibilities (i.e., determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more than one plan). Box 7108 Note: The PCC will close twice a month for training and staff development. National Government Services, Inc. P.O. boxes used for remitting payment for Medicare Trust Fund debts. 1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into MyMedicare.gov, or call us at 1-800-MEDICARE. The hotline number is: 866-575-4067. National Government Services, Inc. P.O. Box 6475 Indianapolis, IN … If you are unable to use NGSConnex, then you may download and input your inquiry directly onto the Medicare Correspondence Request Form. Contact a location. Beneficiary eligibility and entitlement information, View your provider/supplier demographic information, Copyright 2020 - National Government Services. ET Saturday: 7:00 a.m.–3:00 p.m. CMS also requires providers to use these self-service options. Call 866-276-9558 and select Option 2 to reach a specially trianed customer service representative. Saturday: 7:00 a.m.–3:00 p.m. National Government Services, Inc. P.O. Main navigation. National Government Services, Inc.Attn: Medical Review P.O. Monday–Friday: 6:00 a.m.–7:00 p.m. The IVR is available 24-hours a … clarify why a claim processed the way it did; assist with general Medicare information/billing questions; assist with other complex issues that cannot be addressed through the IVR system. Check Provider Enrollment Application Status. Contact the Provider Enrollment line regarding the following: Questions pertaining to issues other than the above should be directed to the Provider Contact Center. 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