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Palmetto GBA does not conduct clinical trials or develop therapeutics. It specializes in high-volume claims and transaction processing, contact center operations, and technical/administrative services for federal healthcare programs—primarily Medicare. The company manages major contracts such as Jurisdiction J and M for Medicare Part A/B claims administration across multiple states.
In 2023, it supported CMS with pilot projects like Clinical Language Intelligence for medical review and Review Choice Demonstration for inpatient rehabilitation facilities. It also operates the National Railroad Medicare program nationwide.
The company has a strong record of performance on federal contracts and community engagement.
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