Railroad Medicare Provider Enrollment: How to Get Your PTAN in 2026

The claim comes back unprocessable. Your coding is clean, the patient is eligible, and the demographics match what the payer holds on file. The missing piece is a Railroad Medicare PTAN, and without one, Palmetto GBA can’t process anything you send.

Most billing teams meet this the first time a patient hands over a card marked Railroad Retirement Board. That card resembles a standard Medicare card, but the claim routes to a different contractor in a different jurisdiction.

Railroad Medicare provider enrollment works differently from the Medicare enrollment you already finished. You request a number, Palmetto GBA verifies the record your local MAC already holds, and you start billing. No application, no CMS-855, and no credentialing committee.

Four steps cover the entire process.

1. Request your Railroad Medicare PTAN. Use the Railroad Medicare PTAN Lookup and Request Tool. No CMS-855 form is required, and most PTANs release the same day you request them.
2. Complete EDI enrollment. You can’t start EDI until the Railroad PTAN exists. Enter the Railroad PTAN on the forms, not the PTAN your local MAC assigned.
3. Register for eServices. You’ll need the Railroad PTAN, your NPI, your Tax ID, and either your last Railroad Medicare payment amount or an EDI access code.
4. Keep the record current. Update your local MAC first, wait 7 to 14 business days, then notify Railroad Medicare in writing.

Open your credentialing tracker and you’ll probably find this payer logged three different ways. Medicare Railroad provider enrollment, RR Medicare provider enrollment, and provider enrollment Medicare Railroad all describe the same request. Standardize the label so two people don’t open duplicate files on one provider.

Palmetto splits this information across four pages on two domains. Below, you’ll also find the payer ID, the claims address, PTAN digit formats, and the four errors that get EDI packets returned.

What Is Railroad Medicare and Who Administers It?

Railroad Medicare is Medicare Part B for railroad retirement beneficiaries, administered nationwide by Palmetto GBA as the Railroad Retirement Board Specialty Medicare Administrative Contractor, or RRB SMAC. Coverage rules match traditional Part B. The contractor, the jurisdiction, and the claims routing are what change.

Palmetto handles these claims for the whole country. A practice in Arizona and a practice in Maine both send Railroad claims to the same contractor in Augusta, Georgia. Your local MAC never touches them.

That nationwide setup explains the separate PTAN. Palmetto processes Railroad claims outside your local MAC’s system, so the identifier your MAC assigned doesn’t resolve on their end. Palmetto GBA enrollment guidance states this plainly: you need a Railroad PTAN because Railroad Medicare is a different jurisdiction from your local Part B MAC.

Yes, Railroad Medicare still exists. Palmetto GBA holds the RRB SMAC contract, and the Railroad Retirement Board remains an active federal agency paying benefits to railroad retirees and their families. Nothing about the program has been folded into standard Medicare.

The enrollment framework sits inside the broader Medicare structure that CMS provider enrollment overview describes, with Railroad treated as an assignment exception for this beneficiary population.

Railroad Medicare, Medicare Railroad, or RR Medicare?

You’ll see this program written several ways. Payer directories list it as Medicare Railroad, clearinghouses shorten it to RR Medicare, and Palmetto calls it Railroad Medicare. New billers ask what is RR Medicare the first time it shows up on a payer list, and the answer is the Part B program described above.

The naming matters for one reason. If your tracker says RR Medicare enrollment on one line and Medicare Railroad enrollment on another, someone will work the same provider twice.

How to Identify a Railroad Medicare Patient at Check-In

Look for Railroad Retirement Board printed on the card. A Railroad Medicare card carries that RRB marking, and because the Medicare Beneficiary Identifier format matches standard Medicare, the marking is your reliable tell.

Patients often won’t mention it. The RRB enrolls beneficiaries automatically when they’re already drawing railroad retirement benefits before turning 65, so many of them don’t know their Medicare runs through a separate contractor.

Your front desk catches this or your billing team absorbs the rejection. Route a Railroad claim to your local MAC and it comes back unprocessable.

Is There a Railroad Medicare Provider Enrollment Form?

No, there is no Railroad Medicare provider enrollment form, and no CMS-855 is required. Palmetto GBA doesn’t run a separate application process. It verifies the enrollment record your local Part B MAC already holds and creates a matching Railroad Medicare record when you request a PTAN.

Standard Medicare enrollment does require a CMS-855, and our CMS-855 form requirements guide covers which version applies to which provider type. Railroad Medicare is the documented exception to that rule.

The confusion has a real source. Palmetto used to publish a printable form called the Request for Railroad Medicare PTAN for Electronic Submitters. They retired it and replaced it with the online PTAN Lookup and Request Tool.

Older guides, cached PDFs, and forum threads still point at that retired form. Practices go hunting for paperwork Palmetto stopped accepting.

One paper path does exist. Providers who meet a waiver from mandatory electronic filing under CR 3440 can submit an initial CMS-1500 (02/12) claim to trigger PTAN assignment. That’s a claim form, not an enrollment form.

Step 1: How to Request Your Railroad Medicare PTAN

Request a Railroad Medicare PTAN through the Railroad Medicare PTAN Lookup and Request Tool. You must already hold active enrollment with your local Part B MAC. The tool validates your local MAC PTAN, your NPI, and your Tax ID. Most PTANs release the same day. Some need research and take up to 30 calendar days.

Before You Request: What Has to Be True First

Active Part B enrollment with your local MAC comes first. Palmetto won’t enroll you in Medicare and won’t build a record from scratch. If you haven’t finished that step, our Medicare provider enrollment guide covers the CMS-855 and PECOS process end to end.

Because the tool matches against your MAC file, a mismatch in name, address, or Tax ID stops the request with an on-screen message. Correct the MAC record before you try again.

One timing rule prevents the most common failed attempt. If your local MAC PTAN arrived recently, wait 14 business days before using the tool. Practices that skip the wait get a mismatch error and assume the tool is broken.

The Three Data Points the Tool Requires

You’ll enter your local Part B MAC PTAN, your individual NPI, and your Tax Identification Number. Individual lookups need an individual MAC PTAN paired with an individual NPI, not a group combination.

What comes back is your Railroad Medicare provider number, the PTAN you’ll put on claims and EDI forms from that point forward.

One edge case sends you to the phone. Providers enrolled with their MAC under a Social Security Number rather than a Tax ID can’t use the tool and need to call 888-355-9165, option 3.

How Long a Railroad Medicare PTAN Takes

Table 1: Railroad Medicare PTAN processing times

The effective date matters more than the processing time. Your Railroad PTAN backdates to the effective date of your Part B PTAN. If you’ve been seeing RRB patients without a Railroad number, that retroactivity is what makes recovery possible on claims still inside the filing window.

Why You Cannot Request a Group PTAN

Request PTANs for individual providers only. Palmetto creates the group PTAN on its own when the first individual PTAN gets assigned to a member of that group. Practices that submit a separate group request lose a cycle waiting on something that was never going to arrive.

Who Is Allowed to Request the PTAN

Only the provider, or a provider representative directly employed by the provider, can request a PTAN. Third-party billers and clearinghouses can’t. A billing agency can update an existing record in writing once Palmetto verifies the NPI, PTAN, and Tax ID, and the Railroad Medicare enrollment FAQ spells out that boundary.

We can’t request your PTAN, and any billing company that tells you otherwise hasn’t read Palmetto’s rules. What we can do is reconcile your MAC record before you submit, so the tool matches on the first attempt.

Verified against Palmetto GBA published guidance, August 2026.

Step 2: Railroad Medicare EDI Enrollment and the Errors That Get Forms Rejected

EDI enrollment runs separately from PTAN assignment, and you can’t start it until your Railroad Medicare PTAN exists. The forms require the Railroad Medicare PTAN, not the one your local MAC assigned. The address on your EDI form must match what Provider Enrollment holds, or Palmetto returns the packet.

The Sequence That Trips Up Most Practices

Railroad Medicare provider enrollment and EDI enrollment are two separate tracks run by two departments. The PTAN comes first. Submit EDI paperwork before the PTAN exists and Palmetto returns the packet, which costs you a full cycle. That kind of avoidable rework is the same pattern behind denial root-cause correction, where the real fix sits upstream of the rejection.

Four Errors That Get EDI Packets Returned

Table 2: Common Railroad Medicare EDI enrollment errors and corrections

EDI enrollment is where most practices lose a cycle, and it’s work a billing partner is allowed to handle end to end. MedSole RCM includes EFT and ERA enrollment support with credentialing at $99 per payer enrollment.

Do You Need a Submitter ID?

If you transmit claims directly to Palmetto, request a Submitter ID through the EDI enrollment forms. If a billing service or clearinghouse transmits for you, you submit under their Submitter ID and won’t need your own.

Some clearinghouse documentation labels this step RR Medicare EDI setup. Same process, shorter name.

What to Expect After You Submit

Palmetto emails a tracking number to the provider email address and the submitter email address listed on your forms. Confirm your enrollment is complete before you transmit claims or pull remittances, and check the Palmetto GBA enrollment guidance if the status stalls.

One detail catches people out. Provider Enrollment and EDI use separate fax numbers that differ by a single digit, so paperwork lands in the wrong queue when someone works from memory. Both numbers appear in the reference section below.

Verified against Palmetto GBA published guidance, August 2026.

Step 3: How to Register for Railroad Medicare eServices

Registering for Railroad Medicare eServices requires four items: your Railroad Medicare PTAN, your NPI, your Tax ID, and either the most recent Railroad Medicare payment amount for that PTAN and NPI combination or the access code EDI issued you. A signed EDI Enrollment Agreement must be on file first.

The Four Items You Need to Register

• Your Railroad Medicare PTAN, which differs from your local MAC PTAN
• Your National Provider Identifier
• Your Tax Identification Number
• The most recent Railroad Medicare payment for that PTAN and NPI combination, or your access code from EDI

That fourth item stops more registrations than the other three combined. If nobody in the office can find the payment amount, call the IVR for your line of business and verify the last payment received.

Without an EDI Enrollment Agreement on file, you’ll get a red error message at the top of the screen when you try to register. Palmetto GBA claims guidance confirms the agreement is the gate for portal access.

Portal access is the third stage of Railroad Medicare provider enrollment, and it’s the one practices skip. Without it, your team calls the contact center for information the portal returns in seconds.

One Administrator Per PTAN and NPI Combination

One Provider Administrator per PTAN and NPI combination performs the initial registration, then grants access to other users. Practices that don’t know this end up with multiple staff members attempting registration and failing.

Register each PTAN and NPI combination separately. Palmetto assigns a different user ID for each one.

If You Already Use Palmetto eServices for Another Jurisdiction

Registration for Jurisdiction J or M won’t carry over. You’ll register separately for Railroad Medicare and choose Railroad Medicare Part B, All States from the Line of Business drop-down list.

eServices handles Railroad Medicare eligibility, claim status, eRemits, and eClaims. For eligibility across your full payer mix, our eligibility verification services run the same check before every encounter.

The IVR is your fallback. Palmetto won’t release provider or patient information over the phone until you authenticate with your PTAN, NPI, and Tax ID.

Verified against Palmetto GBA published guidance, August 2026.

Step 4: How to Update and Maintain Your Railroad Medicare Enrollment Record

Update your local Part B MAC first. Once the MAC confirms the change, wait 7 to 14 business days, then notify Railroad Medicare in writing. Provider Enrollment won’t accept telephone requests to update a record. Include the provider name, Railroad Medicare PTAN, NPI, Tax ID, contact information, and what’s changing.

The Order Matters: MAC First, Then Railroad Medicare

Railroad Medicare provider enrollment records mirror your MAC file, so notifying Palmetto first accomplishes nothing. Their record won’t match the source they verify against. Correct the source, then push the change downstream.

What Every Written Change Request Must Contain

• Provider name as it appears on the enrollment record
• Railroad Medicare PTAN
• National Provider Identifier
• Tax Identification Number
• Current contact information
• A clear explanation of what is changing

Send it on practice or provider letterhead. For an address change, add the prior address, the new address, and a copy of the notice confirming your MAC processed the update.

Record maintenance is recurring work, and Palmetto permits a billing agency to submit these changes in writing once the NPI, PTAN, and Tax ID verify. Our credentialing record updates service covers that ongoing workload across every payer you bill.

Address Changes and Why Undeliverable Mail Matters

Medicare uses Return Service Requested envelopes for hardcopy remittance advices and checks. A stale address sends that mail back to the contractor instead of to you. Checks stop arriving before anyone in the office notices the record drifted.

If Your Local MAC Enrollment Status Changes

A revocation or suspension at your local MAC carries straight over to Railroad Medicare, and you can’t bill either one. Enrollment problems cascade downhill, and the Railroad Medicare enrollment FAQ states that a negative change at your MAC applies to Railroad Medicare as well.

Revalidation Is Handled by Your MAC, Not Railroad Medicare

No, Railroad Medicare doesn’t run its own revalidation cycle. The jurisdictional MACs complete provider enrollment revalidation, and Palmetto reflects whatever status results. Guides that tell you to revalidate separately with Railroad Medicare are describing a process that doesn’t exist.

Verified against Palmetto GBA published guidance, August 2026.

Railroad Medicare vs Medicare: What Changes and What Stays the Same

Railroad Medicare and traditional Medicare Part B share the same coverage rules, the same fee schedule logic, and the same appeal framework. What differs is operational: a different contractor, a separate PTAN, nationwide rather than regional jurisdiction, a different claims address, and a separate provider portal. Benefits stay the same. Routing changes.

The Six Operational Differences

Table 3: Railroad Medicare compared to traditional Medicare Part B

What Does Not Differ

Coverage determinations, medical necessity standards, and the Medicare appeals process carry over without change. Railroad Medicare uses the standard Medicare appeal ladder, starting with redetermination and moving to reconsideration, inside the same framework the CMS provider enrollment overview describes for Part B.

The difference between Railroad Medicare and Medicare comes down to routing, not to what gets covered or how you appeal.

Some payer guides describe a commercial-style independent review process for Railroad Medicare. That structure belongs to commercial insurance and has no role in Medicare Part B. Appeal a Railroad claim the way you’d appeal any other Part B claim.

How to Get Credentialed With Railroad Medicare

There is no credentialing step for Railroad Medicare. Palmetto GBA doesn’t verify your credentials, conduct primary source verification, or review an application. It confirms the enrollment record your local Part B MAC already holds and issues a matching Railroad Medicare PTAN. The credentialing work happened when you enrolled with your MAC.

Why Practices Search for Credentialing That Doesn’t Exist

Most payer relationships a practice manages involve credentialing: CAQH attestation, primary source verification, committee review, and contracting. Railroad Medicare breaks that pattern, so people reach for the familiar word when they go looking for the process.

What Replaces Credentialing Here

Your MAC enrollment serves as the credential, Palmetto verifies against that record, and the PTAN gets issued. Nothing sits between those three points, which the Railroad Medicare enrollment FAQ confirms in its description of how the enrollment file gets created.

Treat Railroad Medicare provider enrollment as an identifier request rather than a credentialing project, and the timeline collapses from months to a single afternoon.

Where Credentialing Does Apply

Credentialing applies to your local MAC enrollment, to Medicaid, and to commercial payers. Our physician credentialing process walks through what that looks like across a full payer panel. Railroad Medicare inherits from the MAC side of that work, which is the part worth watching.

A stale or incorrect MAC record makes the Railroad request fail, and the tool won’t tell you which field is wrong. Our enrollment specialists at $99 per payer reconcile that record before anything gets submitted.

Railroad Medicare inherits whatever your MAC file says, so a clean MAC record is the real prerequisite. That’s credentialing work, and MedSole RCM handles it at $99 per payer enrollment.

Railroad Medicare Payer ID, Claims Address, and Contact Reference

Railroad Medicare electronic claims use EMC payer number 00882. Paper claims and Provider Enrollment correspondence go to Palmetto GBA Railroad Medicare in Augusta, Georgia. The Provider Contact Center is 888-355-9165, with option 3 for Provider Enrollment.

Keep this block somewhere your billing team can reach it. Most Railroad Medicare provider enrollment problems that reach a phone call start with a number pulled from memory.

Payer ID: Why You May See More Than One Number

Palmetto’s own guidance and its PC-ACE Pro32 reference guide both specify 00882 as the EMC payer number, listed under the description MEDICARE ‘B’ - RAILROAD. Individual clearinghouses assign their own routing codes on top of that, and Submitter IDs are a third category entirely.

Table 4: Railroad Medicare identifiers and where each one applies

Verify against your clearinghouse payer list before you configure routing. A payer ID that works in one clearinghouse won’t necessarily work in another, and Palmetto GBA claims guidance directs enrolled electronic submitters to 00882.

Word order varies too. Some directories invert it and list a Medicare Railroad payer id. Texas billers go looking for a Railroad Medicare Texas payer id, and no state-specific number exists. Every state routes to 00882.

Railroad Medicare Claims Address for Paper Submissions

Palmetto GBA Railroad Medicare operates out of Augusta, Georgia. The Railroad Medicare claims address for Provider Enrollment correspondence is Palmetto GBA Railroad Medicare, Attention: Provider Enrollment, PO Box 10066, Augusta, GA 30999.

The address for Railroad Medicare claims doesn’t change by state. A practice in Oregon and a practice in Georgia use the same Medicare Railroad claims address, because Palmetto processes the whole country from one location.

CR 3440 mandates electronic submission, so paper is the exception rather than the default. Only providers who meet the waiver criteria listed in that Change Request can file on paper.

Phone Numbers and What Each One Is For

Table 5: Railroad Medicare contact numbers by purpose

How to Recognize a Railroad Medicare PTAN

Table 6: Railroad Medicare PTAN formats

Reading a remit and spotting the format tells you which record generated the payment. A 6-digit number came from the group file, not the individual one.

Verified against Palmetto GBA published guidance, August 2026.

What Most Railroad Medicare Guides Get Wrong

Most published guides on Railroad Medicare enrollment repeat five errors: that CMS-855 forms are required, that approval takes 90 to 120 days, that Palmetto conducts primary source verification, that Railroad runs its own revalidation cycle, and that you file a separate group application. Palmetto’s published guidance contradicts all five.

We checked each one against Palmetto’s current guidance before publishing this page. MedSole RCM handles Medicare and Medicaid enrollment across all 50 states, and Railroad Medicare provider enrollment generates more contradictory guidance than any other payer that crosses our desk.

Table 7: Common Railroad Medicare enrollment errors and what Palmetto GBA states

The errors persist for understandable reasons. Palmetto retired the old electronic-submitter form and older content never caught up. Writers apply general Medicare enrollment rules to a payer that sits outside them, and the Palmetto GBA enrollment guidance rarely gets read past the first paragraph.

Why This Matters for Your Revenue

A practice that believes enrollment takes 90 to 120 days delays seeing RRB patients or writes off claims it could still file. Most PTANs release the same day, and the number backdates to your Part B effective date. Acting on the wrong timeline costs real money.

What Railroad Medicare Enrollment Costs and When to Bring in a Billing Partner

Railroad Medicare charges no enrollment fee. There’s no application and no CMS-855, so no CMS application fee applies. Your cost is administrative time, or what you pay a billing partner. Credentialing services run $200 to $400 per payer across the market. MedSole RCM charges $99 per payer enrollment.

There Is No Railroad Medicare Application Fee

The 2026 CMS application fee of $750 applies to institutional providers, DMEPOS suppliers, and Opioid Treatment Programs enrolling through PECOS, as the CMS provider enrollment overview sets out. It doesn’t apply to a Railroad Medicare PTAN request, because no application exists to attach a fee to.

What It Costs to Do It In House

Railroad Medicare provider enrollment carries no vendor fee from Palmetto, so the in-house cost is staff hours.

The PTAN request itself takes minutes when your MAC record is clean. The cost sits in everything around it: reconciling the MAC file, EDI enrollment, EFT and ERA setup, eServices registration, and every record update afterward. That’s recurring administrative load, not a one-time task.

What a Billing Partner Can and Cannot Do

A partner can’t request your PTAN. Palmetto restricts that to the provider or a directly employed representative, and the rule doesn’t bend for vendors.

A partner can reconcile the MAC record before you submit, complete EDI, EFT, and ERA enrollment, handle written record updates once the NPI, PTAN, and Tax ID verify, and configure claims routing in your clearinghouse.

Market Pricing for Credentialing and Billing

Table 8: Credentialing and billing pricing compared to the market range

MedSole RCM handles provider enrollment and credentialing at $99 per payer and full-service medical billing at 2.99 percent of collections, with no setup fees and no long-term contract. Both rates sit below the standard market range for the same scope of work.

If Railroad Medicare is one of several payers on your list this year, the enrollment work is the same shape across all of them. One clean intake covers the whole roster.

Railroad Medicare Provider Enrollment: Frequently Asked Questions

Is there a Railroad Medicare provider enrollment form?

No, there is no Railroad Medicare provider enrollment form. Palmetto GBA doesn’t require a CMS-855 or any separate application. You request a PTAN through the Railroad Medicare PTAN Lookup and Request Tool, and Palmetto verifies the enrollment record your local Part B MAC already holds.

How do you get credentialed with Railroad Medicare?

Railroad Medicare has no credentialing step. Palmetto GBA doesn’t conduct primary source verification or review an application. It confirms your existing Part B MAC enrollment and issues a matching Railroad Medicare PTAN. The credentialing work happened when you enrolled with your local MAC.

What is Medicare Railroad and is it the same as Railroad Medicare?

Medicare Railroad and Railroad Medicare name the same program. Payer directories, clearinghouses, and billing software each pick a different word order, and RR Medicare is the common shorthand. All of them refer to Part B coverage for railroad retirement beneficiaries, processed nationwide by Palmetto GBA.

Does Railroad Medicare still exist?

Yes. Palmetto GBA holds the Railroad Retirement Board Specialty Medicare Administrative Contractor contract and processes Part B claims for railroad retirement beneficiaries nationwide. The Railroad Retirement Board remains an active federal agency. The program has not been folded into standard Medicare.

Is Railroad Medicare the same as regular Medicare?

No, but the differences are operational rather than clinical. Coverage rules, fee schedule logic, and the Medicare appeals process match traditional Part B. The contractor, the PTAN, the jurisdiction, the claims address, and the provider portal all differ.

How do I verify eligibility for Railroad Medicare?

Use the Palmetto eServices portal, which supports eligibility, claim status, eRemits, and eClaims for Railroad providers with an EDI Enrollment Agreement on file. The IVR is the alternative, and Palmetto requires your PTAN, NPI, and Tax ID before releasing any information.

How long does a Railroad Medicare PTAN take?

Most PTANs release the same day you request them through the PTAN Lookup and Request Tool. Requests that need research take up to 30 calendar days, and you return to the tool to retrieve the number. The paper CMS-1500 path also allows 30 days.

Can a billing company request my Railroad Medicare PTAN?

No. Palmetto restricts PTAN requests to the provider or a provider representative directly employed by the provider. Third-party billers and clearinghouses can’t submit the request. A billing agency can update an existing record in writing once the NPI, PTAN, and Tax ID verify.

Do I need a separate Railroad Medicare EDI enrollment?

Yes. EDI enrollment runs separately from PTAN assignment, and your Railroad Medicare PTAN must exist before you start. Enter the Railroad PTAN on the forms rather than your local MAC PTAN, and match the address to what Provider Enrollment holds on file.

What is the payer ID for Railroad Medicare?

The Railroad Medicare payer id is 00882, described in Palmetto materials as MEDICARE ‘B’ - RAILROAD. Some clearinghouses assign their own routing codes on top of that number, so verify against your clearinghouse payer list before configuring submission.

How do I change my address with Railroad Medicare?

Update your local Part B MAC first. Once the MAC confirms the change, wait 7 to 14 business days, then send a written request on letterhead to the Railroad Medicare address for claims and enrollment correspondence in Augusta, Georgia. Include the provider name, PTAN, NPI, Tax ID, prior address, and new address.

Does Railroad Medicare have its own revalidation?

No. The jurisdictional MACs complete provider enrollment revalidation, and Railroad Medicare reflects whatever status results. You won’t file a separate revalidation with Palmetto for Railroad Medicare. A revocation or suspension at your MAC blocks Railroad billing as well.

What is the Railroad Medicare phone number?

The Provider Contact Center is 888-355-9165, and option 3 reaches Provider Enrollment. For a duplicate remittance advice through the IVR, call 877-288-7600 and choose option 1 followed by option 4. Palmetto authenticates by PTAN, NPI, and Tax ID.

Getting Railroad Medicare Right the First Time

Four steps carry Railroad Medicare provider enrollment start to finish. Request the PTAN through the lookup tool, complete EDI enrollment with the Railroad number, register for eServices, then keep the record current by updating your MAC first.

The retroactive effective date is the reason not to sit on this. Your Railroad Medicare PTAN backdates to your Part B effective date, so claims you’ve been holding for RRB patients may still be recoverable inside the filing window.

Railroad Medicare mirrors your MAC record, which means enrollment hygiene at your MAC is enrollment hygiene at Railroad. One clean record serves both, and a stale one breaks both at the same time.

If Railroad Medicare is one of several enrollments on your list this year, the same record hygiene drives all of them. MedSole RCM handles provider enrollment and credentialing at $99 per payer and full-service billing at 2.99 percent of collections. No setup fees, no long-term contract.