When to Contact the National Provider Enrollment Contractors vs. the DME MAC

Noridian receives several calls each day that should be addressed by the National Provider Enrollment Contractors (NPEs), either NPEAST (Novitas) or NPWEST (Palmetto GBA). Call NPEAST or NPWEST, based on the physical location of your supplier’s office as outlined at the end of this article, for the following topics:

  • Payment Hold or Do Not Forward Questions: Contact your DME MAC to inquire on the type of payment hold in place. The call representative will advise how to have the payment hold removed, which may involve contacting the NPE contractors.
  • Setting up Electronic Fund Transfer (EFT) or making EFT changes
  • Providing documentation to establish enrollment compliance such as proof of insurance, surety bond, licenses, or other documents
  • Reactivation status for a PTAN (Provider Transaction Access Number)
  • To check why a PTAN was deactivated or revoked
  • Reporting changes in ownership
  • Updating supplier enrollment records

The only involvement Noridian has in the enrollment process is generating overpayments as directed by the NPEs or CMS when a PTAN is deactivated or revoked. Noridian will send an overpayment letter. This letter will explain how to appeal if you disagree with the overpayment decision.

All other enrollment related direction comes from the NPEs or the Appeals and Rebuttals Contractor, Chags Health Information Technology (C-HIT), as they handle enrollment related appeals and implementing appeal decisions. Please ensure that you are responding to these letters and not to Noridian to resolve your PTAN reactivation or appeals process. Noridian will not forward documentation to other contractors on your behalf.

To check on the status of an enrollment appeal or corrective action plan for revocation/termination of a PTAN, call or email C-HIT at 800-245-9206 or PEARC@c-hit.com

Novitas Solutions NPE East (JA): Alabama, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan, Mississippi, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, West Virginia, Wisconsin, District of Columbia, Puerto Rico, US Virgin Islands

Phone: 866-520-5193 9 a.m. - 5 p.m. ET

Palmetto GBA NPE West (JD): Alaska, Arizona, Arkansas, California, Colorado, Hawaii, Idaho, Iowa, Kansas, Louisiana, Minnesota, Missouri, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oklahoma, Oregon, South Dakota, Texas, Utah, Washington, Wyoming, American Samoa, Guam, Northern Mariana Islands

Phone: 866-238-9652 10 a.m. - 6 p.m. ET

Last Updated Jul 11 , 2024