Email Submission Guidelines for Audit and Reimbursement Requests - JE Part A
Email Submission Guidelines for Audit and Reimbursement Requests
Providers must follow the email submission requirements outlined below when sending requests to our Audit and Reimbursement team. Proper formatting ensures timely and accurate processing.
| Submission Type | Email Address | Subject Format | Example |
|---|---|---|---|
| 2nd Interim Rate Review (IRR) | noridianratereview@noridian.com | PTAN FYE: Provider Type* 2nd Rate Review – Provider Name | 000000 12/31/2025: PPS 2nd Rate Review – ABC Hospital |
| 2nd PIP | noridianratereview@noridian.com | PTAN FYE: 2nd PIP Type of Information** | 000000 12/31/2025: 2nd PIP Questionnaire |
| Initial Periodic Interim Payment (PIP) | noridianratereview@noridian.com | PTAN FYE: Initial PIP Type of Information** | 000000 12/31/2025: Initial PIP Cost Report |
| Provider Statistical and Reimbursement (PS&R) | PSR@noridian.com | PS & R Request, PTAN FYE, PS&R | PS & R Request, 000000, 12/31/2025, PS&R |
* Provider Type
| Provider Type | Abbreviation (Use in Subject Line) |
|---|---|
| Prospective Payment System | PPS |
| Critical Access Hospital | CAH |
| Federally Qualified Health Center | FQHC |
| PPS Rural Health Clinic | PPS RHC |
| Tax Equity and Fiscal Responsibility Act | TEFRA |
| Skilled Nursing Facility | SNF |
| Long-Term Care Hospital | LTCH |
** Type of Information (PIP): Choose one of the defined options (Questionnaire, Model, Cost Report, Other)
Common Formatting Tips
- PTAN: Use the six-digit provider number (e.g., 000000)
- FYE: Enter the fiscal year end date in MM/DD/YYYY format (e.g., 12/31/2025)
- Ensure spacing and punctuation match the examples provided for consistency
Last Updated $dateUtil.getDate( $modifieddate , "MMM dd , yyyy" , $locale , $tzone )
