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 to the following address or fax number:

WPS Insurance Company
Medicare Administration
PO Box 1602
Omaha, NE 68101
FAX (402) 351-8047

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: Tuesday, 04-Dec-2007 13:14:32 CST