Get Income Statement For Palmetto Gba Form

Should a correction of a previously submitted claim be needed, do not submit the correction as a new claim. Palmetto GBA can reopen claims for minor corrections. Claims denied as “not medically necessary” cannot be reopened at the claims processing level after a denial for that reason has been issued.

Answer: The resubmission code depends on the nature of the claim. Use Resubmission Code 6 for corrected claims, Code 7 for replacements of prior claims, and Code 8 for voiding or canceling prior claims [1].

Rejected claims must be corrected and resubmitted no later than 12 months from the date of service. Medicare will deny claims received after the deadline date. For more information on timely filing including the limited exceptions to the 12-month timely filing period, see IOM Pub.

Claims must be filed to the appropriate MAC no later than 12 months, one calendar year, from the date of service.

Palmetto GBA is the Railroad Specialty Medicare Administrative Contractor (RRB SMAC) and processes Part B claims for Railroad Retirement beneficiaries nationwide.