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Medicare 1st Level Contractors

 

 

Listing of Fiscal Intermediaries/Affiliated Contractors and A/B MACs

Fiscal Intermediaries/Affiliated Contractors (FIs/ACs) and A/B Medicare Administrative Contractors (A/B MACs) are organizations that have entered into a contract with Medicare to determine at the first level whether a claim for Medicare benefits under Part A or Part B should be paid. Appellants who receive a partially favorable or unfavorable first level redetermination decision from a FI/AC or A/B MAC may appeal that decision by submitting a reconsideration request (second level appeal) to MAXIMUS Federal Services, the Part A Qualified Independent Contractor (QIC).

   
Alabama Cahaba GBA, LLC
Medicare A Redeterminations
P.O. Box 830139
Birmingham, AL 35283-0139
1-800-633-4227 (1-800-MEDICARE)
www.cahabagba.com
Alaska Medicare Part A
Attn: Claims/Redeterminations
P.O. Box 6720
Fargo, ND 58108-6720
1-800-633-4227 (1-800-MEDICARE)
www.noridianmedicare.com
American Samoa Palmetto GBA- J1 MAC
P.O. Box 1131
Augusta, GA 30903-1131
1-800-633-4227 (1-800-MEDICARE)
www.palmettogba.com
Arizona Medicare Part A
Attn: Claims/Redeterminations
P.O. Box 6730
Fargo, ND 58108-6730
1-800-633-4227 (1-800-MEDICARE)
www.noridianmedicare.com
Arkansas Pinnacle Business Solutions
Part A Redeterminations
P. O. Box 3277
Little Rock, AR 72203-3277
1-800-633-4227 (1-800-MEDICARE)
www.arkmedicare.com
California Palmetto GBA- J1 MAC
P.O. Box 971
Augusta, GA 30903-971
1-800-633-4227 (1-800-MEDICARE)
www.palmettogba.com
Colorado Trailblazer Health Enterprises, LLC
P.O. Box 660155
Dallas, TX 75266-0155
1-800-633-4227 (1-800-MEDICARE)
www.trailblazerhealth.com
Connecticut National Government Services
Appeals Department
PO Box 4711
Syracuse, NY 13221-4711
Providers: 1-888-855-4356
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ugsmedicare.com
Delaware National Government Services
Appeals Department
PO Box 4711
Syracuse, NY 13221-4711
Providers: 1-888-855-4356
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ugsmedicare.com
District of Columbia Highmark Medicare Services
Appeals Department
P.O. Box 890386
Camp Hill, PA 17089-0386
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.highmarkmedicareservices
Florida First Coast Service Options
Medicare Part A Appeals
PO Box 45053
Jacksonville, FL 32332-5053
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.floridamedicare.com
Georgia Blue Cross Blue Shield of Georgia
Medicare Part A
P.O. Box 9048
2357 Warm Springs Road
Columbus, Georgia 31908
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
Providers: 1-877-567-3095
www.georgiamedicare.com
Guam Palmetto GBA- J1 MAC
P.O. Box 971
Augusta, GA 30903-971
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.palmettogba.com
Hawaii Palmetto GBA- J1 MAC
P.O. Box 971
Augusta, GA 30903-971
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.palmettogba.com
Illinois National Government Services, Inc
Appeals
P.O. Box 7138
Indianapolis, IN 46207-7138
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ngsmedicare.com
Indiana National Government Services, Inc
Appeals
P.O. Box 7138
Indianapolis, IN 46207-7138
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ngsmedicare.com
Iowa WPS Medicare Part A
Appeals Department
P.O. Box 7665
Madison, WI 53707-7665
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.wpsic.com/medicare
Idaho National Medicare Part A
Attn: Claims/Redeterminations
P.O. Box 6726
Fargo, ND 58108-6726
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.noridianmedicare.com
Kansas WPS Medicare Part A
Appeals Department
P.O. Box 7576
Madison, WI 53707-7576
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.wpsic.com/medicare
Kentucky National Government Services, Inc
Appeals
P.O. Box 7138
Indianapolis, IN 46207-7138
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ngsmedicare.com
Louisiana TriSpan
Medicare Part A Intermediary
P.O. Box 23046
Jackson, Mississippi 39225-3046
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.trispan.com
Maine National Government Services
Appeals Department
PO Box 4711
Syracuse, NY 13221-4711
Providers: 1-866-539-5593
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ugsmedicare.com
Maryland Highmark Medicare Services
Appeals Department
P.O. Box 890386
Camp Hill, PA 17089-0386
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.highmarkmedicareservices.com
Massachusetts National Government Services
Appeals Department
PO Box 4711
Syracuse, NY 13221-4711
Providers: 1-866-539-5593
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ugsmedicare.com
Michigan National Government Services, Inc
Appeals
PO Box 7149
Indianapolis, IN 46207-7130
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ngsmedicare.com
Minnesota Medicare Part A
Attn: Claims/Redeterminations
PO Box 6714
Fargo, ND 58108-6714
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.noridianmedicare.com
Mississippi TriSpan
Medicare Part A Intermediary
P.O. Box 23046
Jackson, Mississippi 39225-3046
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.trispan.com
Missouri WPS Medicare Part A
Appeals Department
PO Box 8890
Madison, WI 53707-8890
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.wpsic.com/medicare
Montana Medicare Part A
Attn: Claims/Redeterminations
PO Box 6732
Fargo, ND 58108-6732
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.noridianmedicare.com
Nevada Palmetto GBA- J1 MAC
PO Box 971
Augusta, GA 30903-971
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.palmettogba.com
New Hampshire National Government Services
Appeals Department
PO Box 4711
Syracuse, NY 13221-4711
Providers: 1-866-539-5593
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ugsmedicare.com
New Jersey Riverbend Government Benefit Administrators
Appeals And Hearings Department
PO Box 6007
Chattanooga, TN 37401
Providers: 1-877-296-6189
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.rgbagov.com
New Mexico Trailblazer Health Enterprises, LLC
P.O. Box 660155
Dallas, TX 75266-0155
1-800-633-4227 (1-800-MEDICARE)
www.trailblazerhealth.com
New York National Government Services
Appeals Department
PO Box 4711
Syracuse, NY 13221-4711
Providers: 1-888-855-4356
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ugsmedicare.com
North Carolina Palmetto Government Benefit Administrators
Medicare Part A Appeals Department
Mail code: AG-630
2300 Springdale Drive, Building One
Post Office Box 7004
Camden, South Carolina 29021-7004
www.palmettogba.com
North Dakota Medicare Part A
Attn: Claims/Redeterminations
PO Box 6709
Fargo, ND 58108-6709
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.noridianmedicare.com
Northern Mariana Islands Palmetto GBA- J1 MAC
PO Box 971
Augusta, GA 30903-971
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.palmettogba.com
Ohio National Government Services, Inc
Appeals
PO Box 7141
Indianapolis, IN 46207-7141
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ngsmedicare.com
Oklahoma Chisholm Administrative Services
Medicare Appeals Departments Coordinator
Chisholm Administrative Services
1215 S. Boulder Ave
P.O. Box 3404
Tulsa, OK 74101-3404
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.chisholmadmin.com
Oregon Medicare Part A
Attn: Claims/Redeterminations
PO Box 6720
Fargo, ND 58108-6720
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.noridianmedicare.com
Pennsylvania Highmark Medicare Services
Appeals Department
P.O. Box 890385
Camp Hill, PA 17089-0385
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE
www.highmarkmedicareservices.com
Puerto Rico Cooperativa de Seguros de Vida de Puerto Rico (COSVI)
Avenida Américo Miranda #400
San Juan, Puerto Rico
P.O. Box 363428
San Juan, PR 00936-3428
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.cosvi.com
Rhode Island Pinnacle Business Solutions
Part A Redeterminations
P. O. Box 3277
Little Rock, AR 72203-3277
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.rimedicare.org
South Carolina Palmetto Government Benefit Administrators
Medicare Part A Appeals Department
Mail code: AG-630
2300 Springdale Drive, Building One
Post Office Box 7004
Camden, South Carolina 29021-7004
www.palmettogba.com
South Dakota Medicare Part A
Attn: Claims/Redeterminations
PO Box 6733
Fargo, ND 58108-6733
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.noridianmedicare.com
Tennessee Riverbend Government Benefit Administrators
Appeals And Hearings Department
PO Box 6007
Chattanooga, TN 37401
Providers: 1-877-296-6189
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.rgbagov.com
Texas Trailblazer Health Enterprises, LLC
P.O. Box 660155
Dallas, TX 75266-0155
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.trailblazerhealth.com
Utah Medicare Part A
Attn: Claims/Redeterminations
PO Box 6724
Fargo, ND 58108-6724
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.noridianmedicare.com
Vermont National Government Services
Appeals Department
PO Box 4711
Syracuse, NY 13221-4711
Providers: 1-866-539-5593
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ugsmedicare.com
Virginia National Government Services
Appeals Department
P.O. Box 7149
Indianapolis, IN 46207-7149
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ugsmedicare.com
Virgin Islands Cooperativa de Seguros de Vida de Puerto Rico (COSVI)
Avenida Américo Miranda #400
San Juan, Puerto Rico
P.O. Box 363428
San Juan, PR 00936-3428
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.cosvi.com
Washington Medicare Part A
Attn: Claims/Redeterminations
PO Box 6720
Fargo, ND 58108-6720
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.noridianmedicare.com
West Virginia National Government Services
Appeals Department
P.O. Box 7149
Indianapolis, IN 46207-7149
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ugsmedicare.com
Wisconsin National Government Services, Inc
Appeals
PO Box 7149
Indianapolis, IN 46207-7138
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.ngsmedicare.com
Wyoming Medicare Part A
Attn: Claims/Redeterminations
PO Box 6734
Fargo, ND 58108-6734
Beneficiaries: 1-800-633-4227 (1-800-MEDICARE)
www.noridianmedicare.com
CMS Maximus Federal Services