In This Issue:
KEY |
Part A & B Contents |
Part A |
Part B |
Title |
H, S, E |
A |
Ambulance Fee Schedule – Ground Ambulance Service (CR# 5533) |
A |
A |
Amount in Controversy for Federal District Court Appeals (CR# 5518) |
H |
P |
Blood Brain Barrier Osmotic Disruption for Brain Tumors (CR# 5530) |
A |
A |
Competitive Bidding Areas in DMEPOS Program (CR# 5574) |
H |
L, R |
CWF Duplicate Claim Edit for Radiology and Pathology (CR# 5347-R) |
A |
A |
Guidelines for NPI Deadline Implementation (PE200704-08) |
A |
A |
Medicare Advantage Plan Directory Available |
A |
A |
Medicare Physician Fee Schedule Fact Sheet (PE200704-01) |
A |
A |
MedPAR Data Requests (PE200704-09) |
A |
A |
National Colorectal Cancer Month Is Over (PE200703-27) |
A |
A |
NPI: Get It, Share It, Use It – Contingency Guidance (PE200704-17) |
A |
A |
NPI: Get It, Share It, Use It – Medicare FFS Contingency (PE200704-32) |
A |
A |
NPI: Get It, Share It, Use It – Various Topics (PE200704-33) |
A |
A |
NPI: Get It, Share It, Use It (PE200704-03) |
A |
A |
Overview of Medicare Preventive Services |
A |
A |
Part C Plan Type Display on CWF (CR#5538) |
A |
A |
Update to Claims Processing Manual – Colorectal Screening (CR# 5541) |
H |
A |
Ventricular Assist Devices (CR# 5516) |
|
| Part A Contact Information |
| Automated IVR Inquiries |
1 (877) 567-7205 |
| Monday - Friday |
6:00 a.m. to 6:00 p.m. |
| Saturdays |
9:00 a.m. to 2:00 p.m. |
These hours represent minimum availability. System access is generally available until 10:00 p.m. on weekdays and 6:00 p.m. on weekends.
| Provider Inquiries: |
1 (888) 855-4356 |
| Monday & Friday |
9:00 a.m. to 4:00 p.m. |
Tuesday - Thursday |
8:00 a.m. to 4:00 p.m. |
You will be able to transfer to a provider representative only during these hours. Please have your provider number, the HIC number and service dates available when you call.
| The Provider Inquiries TTY number for the Hearing Impaired is: |
1 (877) 425--2370 |
| Monday & Friday |
9:00 a.m. to 4:30 p.m. |
| Tuesday - Thursday |
8:00 a.m. to 4:30 p.m. |
| Beneficiary Inquiries: |
|
| English and Spanish |
1-800-MEDICARE
(1-800-633-4227)
|
| TTY for the Hearing-Impaired: |
1 (877) 486-2048 |
| EDI Help Desk: |
1 (877) 273-4334 |
| Monday-Wednesday, Friday |
8:00 -11:30 a.m. (EST) 12:00 Noon - 4:00 p.m. |
| Thursday |
8:00 - 11:30 a.m. (EST) 12:00 Noon - 3:00 p.m. |
EDI Part A Web Address NGS.EDI.A@Anthem.com
EDI Part B Web Address NGS.EDI.B@Anthem.com
|
| Medicare Fraud Hotline: |
|
| To report fraud and abuse in the Medicare and Medicaid programs: |
1(800) HHS-TIPS/1(800) 447-8477 |
| The Hotline TTY Number for the Hearing-Impaired is: |
1(877) 623-6190 |
| Part B Information |
| Part B New Jersey Contact Information |
| Beneficiary TDD: |
(800) 992-0165 |
| Beneficiary Telephone Inquiries & ARU: |
(800) 633-4227 |
| DMERC: |
(866) 419-9458 |
| EMC: |
(866) 488-0546 |
| Fax-on-Demand (FOD): |
(888) 281-8586 |
| Part B Provider IVR: |
(877) 567-9235 |
| Part B Provider Customer Service: |
(888) 855-4346 |
| Part B Enrollment: |
(866) 309-0486 |
| Provider TDD: |
(888) 897-7542 |
| Provider Enrollment |
Mail claims to: |
National Government Services
Provider Enrollment
P.O. Box 69218
Harrisburg, PA 17106-9218
|
National Government Services
Provider Claims
P.O. Box 69201
Harrisburg, PA. 17106-9201
|
| Part B Appeals & Correspondence |
National Government Services.
P.O. Box 69202
Harrisburg, PA 17106-9202 |
| Part B New York Contact Information |
Part B Provider Telephone Inquiries (STAR)
Claim Status and information, eligibility
deductible, pricing and seminar
information: |
|
| DMERC: |
(866) 419-9458 |
| EMC Technical Support Help Desk: |
(866) 889-7322 |
| Fax-on-Demand (FOD): |
(866) 709-1905 |
| General Provider Enrollment Information: |
(866) 837-0241 |
Health Professional Shortage Area (HPSA)
and EMC Audit: |
(315) 442-4600 |
| Provider Enrollment: |
Mail Assigned Claims to: |
National Government Services
Reimbursement Dept.
P.O. Box 1200
Crompond, NY 10517-1200
|
National Government Services,
P.O. Box 100
Yorktown Heights, NY 10598 |
| Unassigned Claims to: |
Health Professional
Shortage Area (HPSA) & EMC Audit: |
National Government Services
P.O. Box 355
Crompond, NY 10517
|
National Government Services
P.O. Box 4716
Syracuse, NY 13221-4716 |
| UPIN Directories (CD/ROM version) |
Quality Assurance and Coordination Dept.
P.O. Box 1201
Crompond, NY 10517 |
| Back Issue Requests |
Part B Appeals & Correspondence |
National Government Services
MIR-Back Issues
800 2nd Avenue
3rd Floor
New York, NY 10017
|
National Government Services
P.O. Box 2280
Peekskill, NY 10566
|
|
Part A Key: A-All Providers, C-Community Mental Health Centers (CMHC), E-Renal Dialysis (ESRD) Providers, H-Hospitals, M-Home Health Providers, O-Comprehensive Outpatient Rehabilitation Facilities (CORF) and Outpatient Physical Therapy Providers, P-Hospice Providers, S-Skilled Nursing Facilities (SNF), NA-Not Applicable
Part B Key: A-All Providers, B-Ambulance, C-Cardiovascular, D-DMEPOS, E-Drugs & Biologicals, F-ASC, G-Anesthesia, H-Physical & Occupational Therapy, I-Beneficiaries, J-Insurers, K-Home Health Care, L-Laboratory, M-Medicine, N-Non-Physician Practitioner, O-Nuclear Medicine, P-Physicians, R-Radiology, S-Surgery, U-Urology, V-Chiropractor, W-Ophthalmology, X-Podiatry, Q-Oncology, NA-Not Applicable |
