Duplicate Remittance Advice Requests

Starting October 17, 2005, the Customer Service Area will no longer accept telephone requests for duplicate remittance advices. Providers that need to obtain a duplicate remittance advice will have the following options for obtaining duplicate electronic or paper copies:

1. Providers that receive their remittance advice electronically (ERA) have up to thirty days from the original ERA date to contact the Medicare Systems Area and request a duplicate electronic copy of their ERA. All requests must be faxed to 402-351-6188 on your company letterhead to the Medicare EDI Department.
   
   If the ERA is over 30 days old, we will not be able to provide an electronic copy. Instead, providers on ERA will have to mail or fax a request for a paper copy of their ERA. Providers can fax their duplicate remittance advice request to 402-351-8047 or mail their request to the following address assigned for their state:




IA	KS	MO	NE
WPS Medicare Part A General Correspondence P.O. Box 7665 Madison, WI 53707-7665	WPS Medicare Part A General Correspondence P.O. Box 7576 Madison, WI 53707-7576	WPS Medicare Part A General Correspondence P.O. Box 8890 Madison, WI 53708-8890	WPS Medicare Part A General Correspondence P.O. Box 8799 Madison, WI 53708-8799



2. Providers that receive a paper remittance advice should mail or fax their requests for duplicate remittance advices to the same address provided for item #1 above.
3. Requests mailed and faxed must contain the following information:
   1. Provider number
   2. Provider name
   3. Requestor's name
   4. Provider's phone number
   5. RA date
   We are not able to fax the requested RA back to providers. It will be mailed to the Remittance Advice (RA) address within the Fiscal Intermediary Standard System (FISS).
   
   CMS regulations allow contractors 45 business days to respond to written inquiries. Depending on current workloads, your request may be handled sooner.

Page Last Updated: Monday, 11-Jan-2010 14:10:39 CST