Beneficiary
Information

Provider
Information

EDI
Information

 

 

Contacting Pinnacle Medicare Services


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Beneficiary Services (For Beneficiary Use Only)

Medicare Unit Contact Information
Request an Appeal Pinnacle Medicare Services
Attn: Appeals
P.O. Box 3470
Little Rock, AR 72203
Customer Service Medicare Part A and B 1-800-MEDICARE (1-800-633-4227)
TDD: 1-800-MEDICARE (1-800-633-4227)

Health Care Provider Services

Medicare Unit Contact Information
Medicare Part A Provider Inquiries Pinnacle Medicare Services
P.O. Box 3470
Little Rock, AR 72203
Phone: 1-866-339-3714
TDD: (877) 726-1711
Provider Audit Fax: (501) 378-2097
Provider Reimbursement Fax: (501) 378-2184
Interactive Voice Response Unit (IVR)
(Status Checks)
(877) 846-2819 (Status Checks Only)
Available 24 hours a day 7 days a week.
Medicare Part B Provider Inquiries Pinnacle Medicare Services
P.O. Box 3470
Little Rock, AR 72203
Phone: 1-866-801-5304
TDD: (877) 726-1711
Interactive Voice Response Unit (IVR)
(Status Checks)
(877) 846-2820 (Status Checks Only)
Available 24 hours a day 7 days a week.
Medicare Part A Provider Enrollment Part A Provider Enrollment
Pinnacle Medicare Services
P. O. Box 1418
Little Rock, AR 72203-1418
Or
400 West Capitol Avenue; Ste. 1100
Little Rock, AR 72201
Phone: (888) 733-6820
Fax: (501) 378-2159

FOR OVERNIGHT DELIVERY ONLY!
Pinnacle Business Solutions Inc.
Part A Provider Enrollment
c/o Provider Audit & Reimbursement
Regions Center
400 West Capitol
Suite 1100
Little Rock AR 72201

Medicare Part B Provider Enrollment
  • Change of Provider Address, Tax ID, etc.
  • Update Provider Information
  • Obtain a new RI Medicare Part B Provider #
  • Update a provider telephone number
Part B Provider Enrollment
Arkansas Medicare Part B
Provider Enrollment
P.O. Box 34260
Little Rock, AR 72203

Toll Free Telephone Assistance available
Monday through Friday 9:00 am - 3:00 pm CST
(866) 582-3251

Medicare Secondary Payer (MSP)

Please mail general MSP Inquiries to:
Pinnacle Medicare Services
Attention: MSP
P O Box 34407
Little Rock, AR 72203
Telephone assistance available 8:00 a.m. - 4:00 p.m. CST (Part B)
Telephone assistance available 9:00 a.m. - 11:30 a.m. CST and 1:00 p.m. - 3:30 p.m. CST (Part A)


Medicare Secondary Payer Recovery Contractor Auto, No-fault, Liability
P.O. Box 33828
Detroit, MI 48232-3828
Phone number 866-677-7220

Medicare Secondary Payer Recovery Contractor-GHP
P.O. Box 33829
Detroit, MI 48232-3829
Phone number 866-677-7220

Medicare Secondary Payer Recovery Contractor-WC
P.O. Box 33831
Detroit, MI 48232-3831
Phone number 866-677-7220

Delivery by Courier Services
JP Morgan Chase
MSPRC MI1-8245
9000 Haggerty Road
Belleville, MI 48111

Where To Submit Hardcopy Claims Part A Hardcopy Claims
Pinnacle Medicare Services
P.O. Box 3470
Little Rock, AR 72203

Part B Hardcopy Claims
Claims Department
Pinnacle Medicare Services
P.O. Box 8102
Little Rock, AR 72203-8102

Freedom of Information Request Pinnacle Medicare Services
Freedom of Information
P.O. Box 83310
Baton Rouge, LA 70884-3310
Part A Redeterminations Pinnacle Medicare Services
P.O. Box 3277
Little Rock, AR 72203-3277
Part B Redeterminations Pinnacle Medicare Services
P.O. Box 3470
Little Rock, AR 72203
Telephone Reopenings

Part A Phone: 1-866-339-3714
Part B Phone: 1-866-409-5903
TDD: (877) 726-1711

Electronic Services

EDI Services, a Division of Pinnacle Medicare Services
P.O. Box 2181
Little Rock, AR 72203
(866) 582-3247
(501) 378-2419

Provider Audit & Reimbursement Provider Cost Reports Pinnacle Medicare Services
Provider Audit & Reimbursement
Centerville Commons Office Park
875 Centerville Road, Bldg. #3
Warwick, RI 02886
Professional Relations Pinnacle Medicare Services
Professional Relations
P.O. Box 3470
Little Rock, AR 72203

Part A Phone: 1-866-339-3714
Part B Phone: 1-866-801-5304
TDD: No 1-866-801-5304
Fax: (225) 231-2276

Medicare Refunds Pinnacle Medicare Services
Medicare Refunds
P.O. Box 8075
Little Rock, AR 72203
Clearinghouse Division Todd Hennessey
P.O. Box 34120
Phone: (501) 918-7416
Fax:  (501) 918-7407
Medical Review Pinnacle Medicare Services
Medical Review
P.O. Box 1418
Little Rock, AR 72203

COB Contractor:
MSP Claims Investigation Project
P.O. Box 33847
Detroit, MI 48232

Palmetto Government Benefits Administration
Railroad Medicare
P.O. Box 10066
Augusta, GA 30999
Beneficiary Contact Number: (800) 833-4455
Provider Contact Number: (877) 288-7600

Qualified Independent Contractor (QIC)
First Coast Service Options, Inc
QIC Part B North
P.O. Box 45208
Jacksonville, FL 32232-5208


Durable Medical Equipment Regional Carriers
Contact List

Durable Medical Equipment Regional Carriers (DMERCs) process Medicare claims for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS).

The residence of the beneficiary determines the regional carrier that processes the claim. Submit DMEPOS claims to the appropriate DMERC. Use the following table to determine where to file your DMERC claims.

DMERC

State jurisdiction
(determined by beneficiary’s residence)

Region A

National Heritage Insurance Company (NHIC)
P.O. Box 9146
Hingham, MA 02043-9146
www.medicarenhic.com

Provider Line (866) 419-9458
Beneficiary Line (800) 633-4227

Connecticut
Delaware
District of Columbia
Maine
Maryland
Massachusetts
New Hampshire
New Jersey
New York
Pennsylvania
Rhode Island
Vermont
Region B

AdminaStar Federal, Inc.
8115 Knue Road
Indianapolis, IN 46250
http://www.adminastar.com 

Provider Line (877) 299-7900
Beneficiary Line (800) 633-4227

Illinois
Indiana
Michigan
Kentucky
Minnesota
Ohio
Wisconsin
Region C

CIGNA Government Services
P.O. Box 20010
Nashville, TN 37202
http://www.cignamedicare.com

Provider Line (866) 270-4909
Beneficiary Line (800) 633-4227

Alabama
Arkansas
Colorado
Florida
Georgia
Louisiana
Mississippi
New Mexico
North Carolina
Oklahoma
Puerto Rico
South Carolina
Tennessee
Texas
U.S. Virgin Islands Virginia
West Virginia
Region D

Noridian Mutual Insurance Company
901 40th St. South; Ste. 1
Fargo, ND 58103
http://www.noridianmedicare.com

Provider Line (866) 243-7272
Beneficiary Line (800) 633-4227

Alaska
American Samoa
Arizona
California
Guam
Hawaii
Idaho
Iowa
Kansas
Missouri
Montana
Nebraska
Nevada
North Dakota
Northern Mariana Islands
Oregon
South Dakota
Utah
Washington
Wyoming

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