Additional Documentation Request (ADR) Submission and Status

If an ADR was sent to the provider and the claim is pending, providers/suppliers may view the letter and submit supporting documentation.

Inquiry

Select Claim Status from main menu and then the Additional Documentation Request tab.

This image shows the Additional Documentation Request tab.

  • Choose TIN or SSN, NPI and PTAN combination under Provider/Supplier Details
  • Select Submit Inquiry.
    • ADR letters can only be viewed 45 days prior to today's inquiry date.

This image shows the ADR Inquiry screen.


Response

All claims that have an ADR for the TIN/NPI/PTAN inquired on are displayed.

The results will show the following:

  • Claim Number
  • Medicare Number
  • Beneficiary Name
  • Date of Service
  • Date Requested
  • Delivery Method
  • Due Date
  • MR Type
  • Review Status
  • Response Date Received
  • Education Call Date
  • New ADR Sent Date
  • Medical Document Completed Date
  • Decision
  • Appeal Outcome Date

This image shows the ADR results.

Viewing and Uploading Documents

To view the ADR and upload supporting documents, choose the "View ADR" link on the ADR Details results table.

This image shows the ADR Details.

To view the original ADR letter that Noridian sent, choose the Document ID under the "Documentation Attached To This Claim" table for the document name "Letter". This letter will contain the claim information and a description of the documentation needed.  

This image shows where to view the ADR letter sent by Noridian.

To upload supporting documentation:

  • Enter a recognizable Document Name
  • Browse on your computer for the file containing the documentation.
    • File size of each upload is 70 MB
    • File types accepted include: GIF, JPG, JPEG, TIF, TIFF, DOCC, DOCX, XLS, XLSX and PDF
  • Choose Upload.

This image shows the screen where documentation is uploaded.

The documentation will now display under the "Documentation Attached To This Claim" table.

Any additional documentation can now be uploaded following the same process. 

This image shows the documentation attached to the claim.

To view the status of the ADR, perform an ADR inquiry. The status of the ADR will be reflected in the "Review Status" column.

  • Awaiting Response
  • Pending Review
  • Review In Progress
  • Review Completed

This image shows how to view the ADR details.


Appeal Status on ADR Claims

If an appeal has been submitted on the claim, the Appeal Outcome Date column will have the date the decision was reached of that appeal. If there was not an appeal submitted on the claim, the column will remain blank.

This image shows the Appeal Outcome Date column.

Last Updated Oct 25, 2018