Welcome.

Medicare is a federal health insurance program established by Congress in 1965 to provide health care insurance for seniors and people with disabilities (added in 1972). The Medicare program has two components, Part A and Part B. Part A provides coverage for services from institutional providers such as hospitals and skilled nursing facilities. Part B provides coverage for services from physicians, non-physician practitioners, laboratories and suppliers.

What's New!

Provider Enrollment Problems and Resolutions

(Document)

5/11/09

Provider Enrollment Questions and Answers

(Document)

5/11/09

CMS-855 Provider Enrollment Application Contact Pe...

(Notice)

5/11/09

Part B Provider Enrollment

(Document)

5/11/09

Virginia LCD Updates – April 2009

(Notice)

5/11/09

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System Alerts

TrailBlazer Alerts Web page - providers should visit this page often for announcements regarding the status of the Part A FISS and Part B MCS systems, claims transmission errors, Part B payment delays, remittance advice and check issues, etc. Part A payment timeliness is posted on the Daily Payment Report Web page.

Current Status: All Clear.

Hot Topics

Important Medicare Enrollment Changes and Provider Documentation Requirements, CMS CR 6310 - The effective date of billing for a physician, non-physician practitioner and physician/non-physician practitioner’s organization is the later of the date of filing or the date the physician or non-physician practitioner began furnishing services at the practice location. Select the following link for more information and examples:

http://www.trailblazerhealth.com/Tools/Notices.aspx?DomainID=1&ID=13009

TrailBlazer's Top Areas of Interest

			Acronyms/Glossary of Terms
			Claims Processing and Billing Error Reports
			Creating and Editing a Web Profile
			Evaluation and Management (E/M)
			Fee Schedules
			LCDs
			Timely Filing Calculator
			TrailBlazer Forms
			Web Site Help

Important CMS Information

			Billing Procedures Related to the Medigap Claim-Based Crossover Process
			CMS MCPSS Web Page
			E-Prescribing Incentive Program
			MCPSS Home Study Web Site
			Medicare Advantage Plan Directory/HMO
			Physician Quality Reporting Initiative (PQRI)
			Web Site for Additions and Deletions of ZIP Codes Requiring a Plus Four ZIP Code Extension

Customer Service

Customer Service - Indian Health

IVR: (877) 567-9230

Provider Contact Center: (866) 448-5894

TTY: (877) 566-9163

Note: The TTY phone numbers are for hearing impaired callers only.
Hours: 8 a.m. - 4 p.m. (all service areas)

Customer Service - Medicare Part A J4

IVR: (877) 567-9230

Provider Contact Center: (866) 640-9202

TTY: (866) 566-9163

Note: The TTY phone number is for hearing impaired callers only.
Hours: 8 a.m - 4 p.m. (all service areas)
Applies to: Colorado, New Mexico, Oklahoma, Texas

Customer Service - Medicare Part B J4

IVR: (877) 567-9230

Provider Contact Center: (866) 280-6520

TTY: (866) 566-9163

Note: The TTY phone numbers are for hearing impaired callers only.
Hours: 8 a.m. - 4 p.m. (all service areas)
Applies to: Colorado, New Mexico, Oklahoma, Texas

Customer Service - Medicare Part B Virginia

IVR: (866) 502-9049

Provider Contact Center: (866) 717-0010

TTY: (877) 279-2662

Note: The TTY phone numbers are for hearing impaired callers only. Hours: 8 a.m. - 4 p.m. (all service areas)