NMP and/or IVR Required Use for Financial Inquiries - Effective February 18, 2019

Effective February 18, 2019, suppliers will be required to use the Noridian Medicare Portal (NMP) and/or the Interactive Voice Response (IVR) self-service tools to access the below financial information. Until then, Customer Service Representatives (CSRs) will educate callers on these tools.

NMP

  • View 50 most recent checks
  • Check number
  • Check amount
  • Check issue date
  • Number of claims pending and total billed amount
  • Number of claims approved to pay and total allowed amount
  • Patient information and overpayment amount associated with a DCN

IVR

The IVR can provide checks by check number, check status, or a check issue date range.

  • Check number
  • Issue date
  • Check amount
  • Number of claims pending and total billed amount
  • Number of claims approved to pay and total allowed amount
  • Patient information and overpayment amount associated with a DCN

NOTE: Referring suppliers to the self-service options is a CMS requirement. Per the CMS Internet Only Manual (IOM), Publication 100-09, Medicare Administrative Contractor (MAC) Beneficiary and Provider Communications Manual, Chapter 6, Section 50.1, "Providers shall be required to use IVRs to access claim status and beneficiary eligibility information. CSRs shall refer providers back to the IVR if they have questions about claims status or eligibility that can be handled by the IVR ... Each MAC has the discretion to also require that providers use the Internet-based provider portal for claim status and eligibility inquiries if the portal has these functionalities."

This process change will allow Noridian to meet CMS requirements and our CSRs to assist callers with more complex inquiries which cannot be answered through these self-service tools. See our Contact Center webpage for further information.

 

Last Updated Feb 04, 2019