Noridian Medicare Portal Eligibility Enhancements Available April 3, 2021

Effective April 3, 2021 the Noridian Medicare Portal (NMP) has been updated to provide additional information to the Eligibility Inquiry responses.

Beneficiary Entitlement Reason Code

The Beneficiary Entitlement Reason Code has been added to the Part A and Part B Beneficiary Details. The Entitlement Reason Code will display and provide a description of the beneficiary’s entitlement.

Acupuncture Services

Acupuncture Service Benefits will provide how many Technical and Professional Sessions are remaining. NMP will also display either the next eligible date or the date of the first acupuncture session, depending on whether the beneficiary has started using the service. This information will be displayed on the Preventive tab of the Eligibility response.

COVID-19 Immunization Data

A COVID-19 Vaccine Eligibility status will be provided on the Preventive tab of the Eligibility response that will indicate if the patient is eligible for the vaccine. The COVID-19 Immunization Data will also be returned on the Preventive tab. The data returned will be the HCPCS Code and Description of the vaccine that was provided, the previous date of service along with the Rendering NPI.


            Last Updated Thu, 03 Jun 2021 20:04:11 +0000