Fax Numbers

Review the following information prior to sending a fax to Noridian.

  1. Direct your fax to correct Noridian DME department
  2. Submit a fax cover sheet which includes total number of pages, Noridian DME department name, supplier name, and contact information
  3. Submit all documents in one fax transmission as there is not a system in place to consolidate multiple responses to a single claim, inquiry, appeal etc
  4. Submit a separate fax for each claim, inquiry, or response with all supporting documentation attached for that specific claim
  5. Review clarity of documents being faxed to ensure contents will not be distorted when faxed (highlights, shading, previously faxed pages where readability may be further diminished if re-faxed)

Departmental Fax Numbers

Adjudication - Additional Documentation Request (ADR) Letter
701-277-7880
Administrative Simplification Compliance Act (ASCA) - Waiver request/documentation
701-277-7882
Appeals - Reopenings and Redeterminations
701-277-2425
Congressional Inquiries
701-277-7884
Freedom of Information Act (FOIA)
701-277-7884
LCD: New LCD Request Process
701-277-7888
Attn: DME New LCD Request
LCD Reconsideration Request
701-277-7888
Attn: DME LCD Reconsideration Administrator
Medical Review - ADMC Requests/Documentation
701-277-7890
Medical Review - Medical Documentation
701-277-2426
Medical Review - Prior Authorization Requests (PAR)
701-277-7891
Medicare Secondary Payer (MSP) Inquiries and Refunds
701-277-7892
Provider Outreach and Education (POE)
701-433-5957
Recoupment - Immediate Offsets
701-277-2427
Recoupment - Recovery Auditor - Recovery Auditor Offset
701-277-7896
Recoupment - Refunds to Medicare and Extended Repayment Schedule (ERS)
701-277-2427
Recovery Auditor Redeterminations
701-277-2425
Last Updated Nov 20 , 2025