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Fax Numbers

Review the following information prior to sending a fax to Noridian.

  1. Direct your fax to the correct Noridian DME department.
  2. Submit a fax cover sheet which includes the total number of pages, Noridian DME department name, supplier name, and contact information.
  3. Submit all documents in one fax transmission as there is not a system in place to consolidate multiple responses to a single claim, inquiry, appeal etc.
  4. Submit a separate fax for each claim, inquiry, or response with all of the supporting documentation attached for that specific claim.
  5. Review the clarity of the documents being faxed to ensure the contents will not be distorted if faxed (highlights, shading, previously faxed pages where readability may be further diminished if re-faxed). 
DME Department Fax Number
Additional Documentation Request Letter 701-277-7880
ADMC Requests/Documentation 701-277-7890
Administrative Simplification Compliance Act (ASCA) 701-277-7882
Congressional Team 701-277-7884
Recovery Auditor Offsets 701-277-7896
Recovery Auditor Redeterminations 701-277-7886
Freedom of Information Act (FOIA) 701-277-7884
Immediate Offsets 701-277-7894
Medical Review - Medical Documentation 701-277-7888
Medical Review - Prior Authorization Requests (PAR) 701-277-7891
MSP Inquiries and Refunds 701-277-7892
Refunds to Medicare and Extended Repayment Schedule (ERS) 701-277-7894
Reopenings and Redeterminations 701-277-7886

 

Last Updated Feb 03, 2017