Pre-Claim Hotline - JA DME

Pre-Claim Hotline Number: 701-433-3041

The Pre-Claim hotline is a service for suppliers regarding Prior Authorization and Advance Determination of Medicare Coverage (ADMC) programs. The hotline is intended to be used for inquiries that are related to the above-mentioned services prior to billing an item.

This service is not intended for beneficiaries. Beneficiaries must call 1-800-Medicare for questions regarding ADMC or Prior Authorization programs.

Acceptable use of the hotline includes questions a supplier may have during the preparation of a Prior Authorization or ADMC submission, questions on a decision that was received or information on coverage criteria.

When calling the hotline number, the caller will be directed to a voicemail. He/she must provide the below information.

• Beneficiary Name
• Supplier Name
• Phone Number
• Hours of availability and time zone
• Beneficiary Medicare Number or Medicare Beneficiary Identifier (MBI), if applicable
• Brief description of the question/issue

A Clinical Reviewer will return each voicemail within two business days.

Suppliers can check the Prior Authorization Request (PAR) status, view the reviewer notes and add/view related documents on the Noridian Medicare Portal. To view the status of the request, perform a Prior Authorization Request Status inquiry. Status inquires may be performed after 15 minutes of submission. Suppliers can also obtain claim status and claim details on the portal.

Effective January 1, 2025, suppliers should call the Supplier Contact Center at 1-866-419-9458, to request copies of ADMC decision letters.