Palmetto GBA Incarcerated Beneficiary Claim Denials: Frequently Asked Questions

Palmetto GBA is asking that providers please not resubmit claims denied in error due to incorrect incarceration information in the Medicare Enrollment Database. CMS is working diligently to develop a process to automate the reprocessing of the claims that were denied in error and resubmitted claims complicate the solution.

CMS has posted Frequently Asked Questions (FAQs) about incarcerated Social Security Administration (SSA) beneficiary claims denials on the All Fee-For-Service Providers website. These FAQs will be updated as more information becomes available.

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