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Railroad Medicare provider portal, phone and payer ID

Palmetto GBA — Railroad Medicare · A U.S. Railroad Retirement Board (Part B administered by Palmetto GBA) company

Reviewed by QuickIntell RCM Editorial Team · Last reviewed

Updated

TL;DR

Railroad Medicare, a U.S. Railroad Retirement Board (Part B administered by Palmetto GBA) subsidiary, is a government program payer covering roughly 450k members. Provider phone is 1-888-355-9165. Claims payer ID is 00882. Standard timely filing is 365 days from date of service for participating providers. Electronic claims (837), eligibility (270/271), and ERA (835) are supported. Use the provider portal for eligibility, claims status, prior authorization, and appeal workflows.

Railroad Medicare provider portal, phone and payer ID quick facts

Provider portalhttps://www.palmettogba.com/palmetto/rr.nsf
Provider phone1-888-355-9165
Claims payer ID00882
Eligibility payer ID00882
ERA payer ID00882
Timely filing365 days
Prior auth routeProvider portal or policy document
Last reviewed2026-04-23

Railroad Medicare at a glance

Legal namePalmetto GBA — Railroad Medicare
Also known asRRB Medicare, Railroad Retirement Board Medicare
CategoryGovernment program
Parent organizationU.S. Railroad Retirement Board (Part B administered by Palmetto GBA)
Claims payer ID00882
Eligibility (270/271) payer ID00882
ERA (835) payer ID00882
NAIC company codeNot published
States coveredNationwide (50 states)
Members covered~450k members
Provider portalhttps://www.palmettogba.com/palmetto/rr.nsf
Provider phone1-888-355-9165

Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.

Timely filing & appeals for Railroad Medicare

Railroad Medicare's standard timely filing window for participating providers is 365 days from the date of service. Plan-specific products (Medicare Advantage, Medicaid, employer groups, secondary claims) may have shorter or longer windows — always confirm against the policy linked below before disputing a TFL denial.

Submission typeWindow
In-network initial claim365 days
Out-of-network initial claim365 days (verify per plan)
Secondary / coordination of benefits365 days from primary EOB
Corrected / appeal120 days from denial

Appeal levels

  1. Level 1: First-Level ReconsiderationFile within 120 days

    Written request for claim reconsideration with supporting documentation, filed within the stated window of the denial notification.

  2. Level 2: Second-Level Formal AppealFile within 180 days

    Formal appeal reviewed by a party not involved in the initial determination; typically requires the first-level decision letter.

  3. Level 3: External / Independent ReviewFile within 120 days

    External Independent Review Organization (IRO) review per ACA §2719 and applicable state law.

Source: Railroad Medicare provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.

Prior authorization with Railroad Medicare

Railroad Medicare does not currently accept X12 278 prior-authorization transactions; submit via portal or fax. The procedures most commonly subject to prior authorization include advanced imaging, inpatient admissions, specialty pharmacy, and certain outpatient surgical procedures. Use the payer's authorization tool below to confirm requirements per CPT before scheduling a service.

Railroad Medicare maintains a live prior-authorization code lookup tool that supersedes any cached list. Use the provider portal or the policy documents below to confirm the current PA list before rendering a service.

Top denial reasons for Railroad Medicare

Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Railroad Medicare volume. Until then, see the broader CARC reference for industry-wide remediation guides.

Electronic claims, eligibility & ERA

TransactionSupportedPayer ID
837P / 837I claimsYes00882
270 / 271 eligibilityYes00882
278 prior authorizationNo00882
835 ERAYes00882

Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.

QuickIntell coverage for Railroad Medicare

  • QuickRCM

    End-to-end claim lifecycle automation tuned to Railroad Medicare's edits and adjudication patterns.

  • QuickERA

    Automated 835 ERA posting from Railroad Medicare with payment reconciliation and denial routing.

Frequently asked questions about Railroad Medicare

Where is the Railroad Medicare provider portal?

The Railroad Medicare provider portal is available at https://www.palmettogba.com/palmetto/rr.nsf. Use it for eligibility checks, claim status, prior authorization workflows, appeals, and payer-specific routing updates. QuickIntell links to the payer's provider-facing portal as a reference and is not the official payer portal.

What is the timely filing limit for Railroad Medicare?

Railroad Medicare's standard timely filing limit for participating providers is 365 days from the date of service. Plan-specific products (Medicare Advantage, Medicaid managed care, employer groups) may have different windows — confirm against the payer's provider manual before disputing a TFL denial.

What is the Railroad Medicare payer ID?

The primary claims payer ID for Railroad Medicare is 00882. Eligibility (270/271) uses 00882 and ERA (835) uses 00882. Always verify against the member ID card and your clearinghouse payer list before submitting.

Does Railroad Medicare accept electronic claims?

Yes — Railroad Medicare accepts ANSI X12 837P and 837I electronic claims through standard clearinghouses. Real-time eligibility (270/271) is supported and X12 278 prior authorization is not currently supported.

How do I appeal a Railroad Medicare denial?

Railroad Medicare uses a 3-level appeal process. Level 1 (First-Level Reconsideration) must be filed within 120 days of the denial. Each escalation level requires the prior decision letter and supporting clinical or coding documentation. See the appeal-levels block above for deadlines and process.

How long do Railroad Medicare prior authorization approvals take?

Railroad Medicare's prior-authorization decision turnaround typically follows standard industry windows: 72 hours for urgent requests and up to 14 calendar days for non-urgent requests. Specialty drugs and high-cost imaging may extend further. Submit through the Railroad Medicare provider portal for the fastest turnaround.

What is the Railroad Medicare provider phone number?

Providers can reach Railroad Medicare at 1-888-355-9165 for claims status, eligibility verification, and authorization questions. Have the member ID, date of service, and tax ID ready before calling. Most operational tasks are faster through the provider portal at https://www.palmettogba.com/palmetto/rr.nsf.

Run cleaner claims to Railroad Medicare with QuickIntell

QuickAuth, QuickRCM, and QuickERA are validated against Railroad Medicare's EDI behavior — eligibility, prior auth, claim scrubbing, and ERA posting all run on real payer rules.

Disclaimer

This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Railroad Medicare's current published documents before submission. CPT® is a registered trademark of the American Medical Association.