"Adolph Hitler's favourite restaurant - We sat at 'his' table." NOTE: You must attach an itemized bill in order for Medicare to process this claim This website is operated by GoHealth, LLC., a licensed health insurance company. For example, if you live in Rhode Island, your Medicare Part A/B MAC is National Government Services, Inc., the MAC for jurisdiction K. This MAC also assists with home health and hospice claims. Contractor numbers for processing MAC workload Part A and Part B claims for Florida, Puerto Rico, and the U.S. Virgin Islands are processed by First Coast using the following MAC workload numbers issued by CMS: Part A workload Part B workload Disclaimer Terms of use Privacy Policy About Us Persons with Medicare Corporate site Contact us Site Map Do whatever you want with a Medicare Administrative Contractor Address Table. If you still do not know the address of your Medicare contractor, call 1-800-MEDICARE (1-800-633-4227). 0z> !5zPd*|bOpm(h|ICs@+5NmS4%.f [QWs5+5Nm|,zK 9B endstream endobj 2114 0 obj <>/Subtype/Form/Type/XObject>>stream PDF Civilian Personnel Overseas Allowances HtPA | QR(c/yovi4J*UltKw^"7p}r8 aa)lgg;zh1^F;g;Q[vhIGKrA?m}ykB,9Bm48ibh1[ g` Original Medicare is provided by the federal government and is made up of two parts: Part A (hospital insurance) and Part B (medical insurance). The Department may not cite, use, or rely on any guidance that is not posted Reference the Medicare Administrative Contractor Address table for the correct address to mail your claim form. Box 6776 Fargo, ND 58108-6776, Novitas Solutions P.O. Box 100190 Columbia, SC 29202-3190, Noridian Healthcare Solutions, LLC P.O. Box 6178 Indianapolis, IN 46206-617, Noridian Healthcare Solutions, LLC P.O. Box 3030 Mechanicsburg, PA 17055-1834, Novitas Solutions P.O. If the jurisdiction website is unavailable, we've linked to the provider log-in page. #1 Internet-trusted security seal. The Medicare Administrative Contractor is hereby advised that this constitutes technical direction as defined . The American Speech-Language-Hearing Association (ASHA) is the national professional, scientific, and credentialing association for 228,000 members and affiliates who are audiologists; speech-language pathologists; speech, language, and hearing scientists; audiology and speech-language pathology support personnel; and students. HtPA | QR(c/yovi4J*UltKw^"7p}r8 aa)lgg;zh1^F;g;Q[vhIGKrA?m}ykB,9Bm48ibh1[ g` On any device & OS. DISCLAIMER: The contents of this database lack the force and effect of law, except as Medicare Administrative Contractors (MACs) are private companies that process Part A and Part B medical claims or Durable Medical Equipment (DME) claims for Original Medicare beneficiaries. Calendar more . Please check your spelling or try another term. . Contact Phone Website Address; A/B MAC Jurisdiction E. CA, HI, NV, American Samoa, Guam, Northern Mariana Islands; 1-855-609-9960: Part A: https://med . Send paper claims and written correspondence to: To send claims, written correspondence and requested forms using private couriers or certified mail, use the following address: PATIENTS REQUEST FOR MEDICAL PAYMENT. HtA }E?P**o0aaww}e}0q]Y,SYJ:Y1v0lyhjIrc$(RY'+*(r~3R_ E Guidance for CMS page Medicare Administrative Contractor Final Issued by: Centers for Medicare & Medicaid Services (CMS) Issue Date: December 02, 2019 Since Medicare's inception in 1966, private health care insurers have processed medical claims for Medicare beneficiaries. What forms do I need to sign up for Medicare? From now on, fill in Medicare Reporting Form from your home, workplace, and even while on the move. Ensures that a website is free of malware attacks. Welcome to First Coast Service Options, Inc. First Coast has proudly served as one of the nation's largest Medicare administrators for 50 years, and is the current Medicare Administrative Contractor (MAC) for Jurisdiction N (JN), which includes Florida, Puerto Rico and the U.S. Virgin Islands. HtPA If the above conditions Use professional pre-built templates to fill in and sign documents online faster. Fill out the requested boxes that are yellow-colored. If you are being treated for a work related injury be sure to check the appropriate box in Section 2 titled Condition Related to. Press the arrow with the inscription Next to jump from box to box.