The Railroad Retirement Board (RRB) administers the Medicare program for persons covered by the Railroad Retirement System. The collection obtains the information needed by Palmetto GBA, the RRB's carrier, to pay claims for services covered under Part B of the program.
The latest form for Request for Medicare Payment expires 2022-09-30 and can be found here.
Document Name |
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Form and Instruction |
Supporting Statement A |
Supporting Statement B |