Access Medical Review Decisions

The comments from Noridian's Medical Review Examiners which provide a detailed explanation on what was used for the basis of the claim processing decision are available to suppliers in the Noridian Medicare Portal (NMP). Noridian considers this claim-specific information secure and protected health information and does not make the information publicly available outside of our NMP.

The NMP offers access to view claim processing comments if a claim had been selected for prepayment review in which Noridian requested documentation prior to making a claim decision. Visit the NMP webpage for more information.

Disagree with a Decision - When a claim is finalized, it will either be paid in full, be partially paid, or denied as communicated through a Remittance Advice (RA). If you disagree with the decision, you can request a Redetermination within 120 days of the date on the RA.


Last Updated Wed, 12 Oct 2022 17:47:22 +0000