Please note new address for mailing credit balance.

This notice is a reminder that the Medicare credit balance report for the quarter ending June 30, 2008 are due by July 31, 2008. The quarterly report is to include all new Medicare credit balances not reported on a previous quarterly report.

We encourage you to utilize an electronic version of the Medicare Credit Balance Detail Report 838 . It is important that you sign and return the Medicare Credit Balance Report Certification. If you have a credit balance please submit the electronic Medicare Credit Balance report 838 on a diskette or CD-ROM. A paper copy of the completed Medicare Credit Balance report 838 is still acceptable.

When preparing your credit balance report include a name and telephone number for the individual to be contacted if questions arise regarding the reported data. If submitting a diskette, please label the diskette with the facility name, provider number, contact person, and phone number. Adjustment requests should be accompanied with copies of the original UB92 with the corrections indicated. Please consider the following situations as you prepare your credit balance report for this quarter:

1. If a credit balance has already been reported in a previous quarter, your obligation has been fulfilled. It is not to be reported again on a subsequent period report.
2. If a paper or electronic adjustment bill has been submitted during the quarter but has not yet been processed, please attempt to ascertain the status of that adjustment before reporting it on the CMS-838 at the end of the quarter. If the adjustment request has not been rejected or returned to the provider (RTP'd), it should be considered as having been successfully filed, and there is no need to reflect that claim again on the quarterly report. If, however, the adjustment bill has been returned, you will need to include it on the quarter's end report since it is not officially residing in the payment system for processing.

It should be noted that, based on current manual instructions, providers not filing their quarterly reports by the due date face possible interest assessment, as outlined in Provider Notice 94-23, Dated June 7, 1994. Failure to comply with the stipulated reporting requirements can also result in the reduction or suspension of all Medicare payments.

Please send the completed CMS-838 (diskette, CD-ROM or hardcopy), certification page, and adjustments, if necessary to:

Highmark Medicare Services

Medicare Claims

Mr. Daniel Holbrook-Foust

P.O. Box 890386

Camp Hill, PA 17089-0386

If you are repaying the credit balance due by check, which is not required if you submit the appropriate claim adjustment forms, send the check to:

Highmark Medicare Services

Attn: Cashier

P.O. Box 890386

Camp Hill, PA 17089-0386

If the check is mailed via Priority mail or through a commercial carrier for which a P.O. Box cannot be used please send checks to:

Highmark Medicare Services

Attn: Cashier

1800 Center Street

Camp Hill, PA 17089

Please also include a copy (only if you choose to repay the credit balance due by check) of the check with the CMS-838 packet you submit to Mr. Daniel Holbrook-Foust at the address above.

You may fax only zero credit balances to Daniel Holbrook-Foust at 443-886-2815.

For additional information pertaining to credit balance questions, instructions, and copies of the necessary forms, please refer to our web site.

If you have any questions, need a copy of the software necessary to submit your credit balance report on a diskette, or do not have access to the Internet, please contact Daniel Holbrook-Foust at 443-886-2817.