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TrailBlazer Announces Final Medicare Administrative Contractor Schedule for Claims Processing in Four States

DALLAS, Feb. 19 /PRNewswire/ -- TrailBlazer Health Enterprises, LLC today released notice of the final implementation schedule outlining its plan for assuming responsibility for processing all Part A and Part B fee-for-service Medicare claims in Colorado, Oklahoma, New Mexico and Texas.

TrailBlazer also reiterated the availability of its Jurisdiction 4 (J4) Web site, which is being used to communicate details of the implementation to health care providers in those states. Providers may access the J4 Web site at .

According to the schedule, which has just been finalized by the Centers for Medicare & Medicaid Services (CMS), TrailBlazer will cut over the workloads from current Medicare contractors in the four-state region to its own offices beginning March 1. The four-state implementation is slated to be completed by mid-June 2008.

Last year, CMS announced the selection of TrailBlazer ( as the A/B Medicare Administrative Contractor (MAC) for the four states, known as Jurisdiction 4. CMS is in the process of replacing its fiscal intermediaries (for processing Part A claims) and carriers (for Part B claims) with 15 A/B MACs that will handle claims and perform related functions for both Parts A and B. Part A of Medicare provides coverage for inpatient hospital services, skilled nursing facilities, home health services and hospice care; Part B includes services of physicians, laboratories and other practitioners.

The implementation schedule states that providers in Oklahoma should begin submitting Part A and Part B fee-for-service claims to TrailBlazer beginning March 1. Part B claims from New Mexico providers also should be sent to TrailBlazer beginning March 1. Part B claims from Colorado providers should be sent to TrailBlazer beginning March 21.

On June 13, providers currently served by TrailBlazer from Part A Colorado and New Mexico, as well as Part A and Part B Texas, will become part of TrailBlazer's J4 MAC operation.

Providers may view the final schedule and receive other information on the implementation by visiting TrailBlazer's J4 Web site at . A link to the site is also available from TrailBlazer's home page. Providers are encouraged to register for TrailBlazer listservs from the site to receive critical implementation updates.

"We want to communicate clearly all aspects of this transition to providers, physicians and suppliers within Jurisdiction 4 to ensure there is no disruption to claims processing or Medicare operations," said Martha P. Mahaffey, TrailBlazer's president.

Based in Dallas, Texas, TrailBlazer Health Enterprises, LLC is a diversified government contractor, providing services to Medicare and other government programs. TrailBlazer has helped administer Medicare since the program's inception in 1966, serving as both a fiscal intermediary and carrier. In addition to its Dallas headquarters, the company has offices in Denison, Texas; San Antonio, Texas; and Timonium, Md.

SOURCE TrailBlazer Health Enterprises, LLC
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