Mailing Addresses - JF Part A
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Mailing Addresses
Providers can use the addresses provided below to submit the following types of correspondence:
- Claim (paper UB-04) Forms
- General Correspondence / Written Inquiries
- Medicare Secondary Payer (MSP)
- Provider Enrollment and related material
- Redetermination Requests (All types including overpayments, CERT, RA, SMRC, and UPIC)
- Responses to Noridian Medical Review Additional Documentation Requests (ADRs)
- Responses to Noridian requests for additional documentation
Correspondence may be mailed to Noridian via United States Postal Service (USPS) or Certified/Courier Mailings
Correspondence may be mailed on paper or electronically via CD, DVD, or USB. See the Options for Submitting Documentation page for more information.
| State | USPS | Certified/Courier Mailings |
|---|---|---|
| Alaska | Noridian JF Part A Attn: _________ (if applicable) PO Box 6720 Fargo, ND 58108-6720 |
Noridian JF Part A Attn: _________ (if applicable) 4510 13th Ave S Fargo, ND 58103 |
| Arizona | Noridian JF Part A Attn: _________ (if applicable) PO Box 6730 Fargo, ND 58108-6730 |
Noridian JF Part A Attn: _________ (if applicable) 4510 13th Ave S Fargo, ND 58103 |
| Idaho | Noridian JF Part A Attn: _________ (if applicable) PO Box 6726 Fargo, ND 58108-6726 |
Noridian JF Part A Attn: _________ (if applicable) 4510 13th Ave S Fargo, ND 58103 |
| Montana | Noridian JF Part A Attn: _________ (if applicable) PO Box 6732 Fargo, ND 58108-6732 |
Noridian JF Part A Attn: _________ (if applicable) 4510 13th Ave S Fargo, ND 58103 |
| North Dakota | Noridian JF Part A Attn: _________ (if applicable) PO Box 6709 Fargo, ND 58108-6709 |
Noridian JF Part A Attn: _________ (if applicable) 4510 13th Ave S Fargo, ND 58103 |
| Oregon | Noridian JF Part A Attn: _________ (if applicable) PO Box 6726 Fargo, ND 58108-6726 |
Noridian JF Part A Attn: _________ (if applicable) 4510 13th Ave S Fargo, ND 58103 |
| South Dakota | Noridian JF Part A Attn: _________ (if applicable) PO Box 6733 Fargo, ND 58108-6733 |
Noridian JF Part A Attn: _________ (if applicable) 4510 13th Ave S Fargo, ND 58103 |
| Utah | Noridian JF Part A Attn: _________ (if applicable) PO Box 6724 Fargo, ND 58108-6724 |
Noridian JF Part A Attn: _________ (if applicable) 4510 13th Ave S Fargo, ND 58103 |
| Washington | Noridian JF Part A Attn: _________ (if applicable) PO Box 6720 Fargo, ND 58108-6720 |
Noridian JF Part A Attn: _________ (if applicable) 4510 13th Ave S Fargo, ND 58103 |
| Wyoming | Noridian JF Part A Attn: _________ (if applicable) PO Box 6734 Fargo, ND 58108-6734 |
Noridian JF Part A Attn: _________ (if applicable) 4510 13th Ave S Fargo, ND 58103 |
State Specific Exceptions
Certain types of correspondence require different levels of separation to assist our office in getting provider's documentation and requests to the appropriate team.
| Correspondence | USPS | Certified/Courier Mailings |
|---|---|---|
Audit and Reimbursement
|
Noridian JF Part A Attn: Audit and Reimbursement PO Box 6722 Fargo ND 58108-6722 |
Noridian JF Part A Attn: Audit and Reimbursement 4510 13th Ave S Fargo, ND 58103 |
| Contractor Medical Directors (CMDs) | Noridian JF Part A Attn: CMDs PO Box 6781 Fargo ND 58108-6781 |
Noridian JF Part A Attn: CMDs 4510 13th Ave S Fargo, ND 58103 |
| Congressional | Noridian JF Part A Attn: Congressional PO Box 6723 Fargo, ND 58108-6723 |
Noridian JF Part A Attn: Congressional 4510 13th Ave S Fargo, ND 58103 |
| Electronic Data Interchange (EDI) | Noridian JF Part A Attn: EDI PO Box 6729 Fargo, ND 58108-6729 |
Noridian JF Part A Attn: EDI 4510 13th Ave S Fargo, ND 58103 |
| Extended Repayment Schedule | Noridian Medicare JF Part A ATTN: Extended Repayment Schedule PO Box 511344 Los Angeles, CA 90051-7899 |
Noridian Medicare JF Part A ATTN: Extended Repayment Schedule 4510 13th Ave S Fargo, ND 58103 |
| Freedom of Information Act (FOIA) | Noridian JF Part A Attn: FOIA PO Box 6722 Fargo, ND 58108-6722 |
Noridian JF Part A Attn: FOIA 4510 13th Ave S Fargo, ND 58103 |
| Fraud and Abuse/Benefit Protection | Noridian JF Part A Attn: Fraud and Abuse/Benefit Protection PO Box 6710 Fargo, ND 58108-6710 |
Noridian JF Part A Attn: Fraud and Abuse/Benefit Protection 4510 13th Ave S Fargo, ND 58103 |
| LCD: New LCD Request | Noridian JF Part A Attn: New LCD Request PO Box 6781 Fargo ND 58108-6781 |
Noridian JF Part A Attn: New LCD Request 4510 13th Ave S Fargo, ND 58103 |
| LCD Reconsideration | Noridian JF Part A Attn: LCD Reconsideration PO Box 6781 Fargo, ND 58103-6781 |
Noridian JF Part A Attn: LCD Reconsideration 4510 13th Ave S Fargo, ND 58103 |
| Medical Review (Including Requested Post Pay Claims) | Noridian JF Part A Attn: Medical Review PO Box 6722 Fargo, ND 58108-6722 |
Noridian JF Part A Attn: Medical Review 4510 13th Ave S Fargo, ND 58103 |
| Prior Authorization | Noridian JF Part A PO Box 6722 Fargo, ND 58108-6782 |
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