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 five 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.