Contact Appeals

Published 10/05/2021

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Self-Service

Appeals Calculator Self Service Tool
Determine the date your appeal must be received by.
Redetermination Status Tool
Check the current status of your appeals.
Denial Resoluation Tool
Review your reason/remark codes and learn how to resolve them.

eServices
Our eServices portal allows you to submit online Redetermination and Reopening: Simple Claim Correction requests and to receive eDelivery of Appeals Decision Letters into your eServices Messages inbox.

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Call 888-355-9165, select Option 5 for Customer Service

For questions about denied claims or how to submit an appeal

Representatives are available Monday through Friday from 8:30 a.m. to 4:30 p.m. for all time zones with the exception of PT, which receives service from 8 a.m. to 4 p.m.

Telephone Reopenings

Some denials can be adjusted via telephone reopening (restrictions apply.)  To request a claim reopening by telephone:

Call 888-355-9165, select Option 4 for Telephone Reopenings

Representatives are available Monday through Friday from 8:30 a.m. to 4:30 p.m. for all time zones with the exception of PT, which receives service from 8 a.m. to 4 p.m.

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Submit Documentation

If you are unable to submit your appeals via our  eServices portal , please submit your completed  appeals forms and documentation using one of the methods noted below:

Fax: (803) 462-2218

US Mail:
Palmetto GBA Railroad Medicare
Appeals
P.O. Box 10066
Augusta, GA 30999-0001
FedEx, USPS, Certified Mail:
Palmetto GBA Railroad Medicare
Appeals
2743 Perimeter Parkway, Bldg. 200
Augusta, GA 30909
Group of People

Contact a Different Department

View our main Contact Us page for information on how to submit a general inquiry or to contact a different department.