Welcome! We proudly serve as the MAC in charge of providing services to Part A and Part B providers within jurisdiction H and jurisdiction L. MACs provide support and claim-related information to other Medicare contractors, such as 800-MEDICARE.
800-MEDICARE provides support to person(s) with Medicare and offers a wide range of helpful information on the official U.S. government Medicare program website at Medicare.gov.
If you have claim specific questions, would like to check the status of your appeal, have questions about durable medical equipment or questions on any of the resources listed below, please contact 800-MEDICARE or visit Medicare.gov.
Medicare claims (Part A and B Medicare services only)
Submit a claim to Medicare – use required
CMS 1490S form (version 01/18)
Learning module: How to submit a Medicare claim (coming soon)
Medicare appeals (Part A and B Medicare services only)
Submit an appeal to original Medicare:
Use the
CMS – 20027 form (version 01/20) and send a copy of the completed form to the company that handles your claims for Medicare. Their address is listed in the "Appeals Information" section of the MSN;
or Send a copy of the completed
Medicare summary notice to the MAC listed on your MSN. Their address is listed in the "Appeal Information" section of the MSN.
If you have questions regarding the status of your appeal, need additional check information or a reissued check, please contact 800-MEDICARE.
Services covered by Part A and Part B Medicare
Under the public health emergency, 8 OTC COVID-19 tests per month are covered by Medicare when provided to you by a valid participating provider
Medicare summary notices (MSNs)
Getting started with Medicare or changing my Medicare plan
Your Medicare costs
Common questions
Medicare resources
News and updates
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