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
  • Cost Reports
  • Cost Report Payments
  • Cost Report Reopening
  • Credit Balance Reports
 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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