Mailing Addresses

Providers can use the addresses provided below to submit the following types of correspondence:

  • Claim (paper UB-04) Forms
  • General Correspondence / Written Inquiries
  • Medicare Secondary Payer (MSP)
  • Provider Enrollment and related material
  • Redetermination Requests (All types including overpayments, CERT, RA, SMRC, and UPIC)
  • Responses to Noridian Medical Review Additional Documentation Requests (ADRs)
  • Responses to Noridian requests for additional documentation

Correspondence may be mailed to Noridian via United States Postal Service (USPS) or Certified/Courier Mailings

X
 
State USPS Certified/Courier Mailings
California - Northern and Southern Noridian JE Part A
Attn: _______ (if applicable)
PO Box 6770
Fargo ND 58108-6770
Noridian JE Part A
Attn: _______ (if applicable)
900 42nd St S
PO Box 6770
Fargo ND 58103-2119
Hawaii, American Samoa, Guam, Northern Mariana Islands Noridian JE Part A
Attn: _______ (if applicable)
PO Box 6773
Fargo ND 58108-6773
Noridian JE Part A
Attn: _______ (if applicable)
900 42nd St S
PO Box 6773
Fargo ND 58103-2119
Nevada Noridian JE Part A
Attn: _______ (if applicable)
PO Box 6772
Fargo ND 58108-6772
Noridian JE Part A
Attn: _______ (if applicable)
900 42nd St S
PO Box 6772
Fargo ND 58103-2119

 

State Specific Exceptions

Certain types of correspondence require different levels of separation to assist our office in getting provider's documentation and requests to the appropriate team.

Correspondence USPS Certified/Courier Mailings
Administrative Law Judge (ALJ) Notification Noridian JE Part A
Attn: ALJ
PO Box 6781
Fargo ND 58108-6781
Noridian JE Part A
Attn: ALJ
900 42nd St S
PO Box 6781
Fargo ND 58103-2119
Audit and Reimbursement
  • Cost Reports
  • Cost Report Reopening
  • Credit Balance Reports
Noridian JE Part A
Attn: Audit and Reimbursement
PO Box 6782
Fargo ND 58108-6782
Noridian JE Part A
Attn: Audit and Reimbursement
900 42nd St S
PO Box 6782
Fargo ND 58103-2119
Congressional Noridian JE Part A
Attn: Congressional
PO Box 6783
Fargo ND 58108-6783
Noridian JE Part A
Attn: Congressional
900 42nd St S
PO Box 6783
Fargo ND 58103-2119
Contractor Medical Directors (CMDs) Noridian JE Part A
Attn: CMDs
PO Box 6781
Fargo ND 58108-6781
Noridian JE Part A
Attn: CMDs
900 42nd St S
PO Box 6781
Fargo ND 58103-2119
Electronic Data Interchange (EDI) Noridian JE Part A
Attn: EDI
PO Box 6729
Fargo ND 58108-6729
Noridian JE Part A
Attn: EDI
900 42nd St S
PO Box 6729
Fargo ND 58103-2119
Fraud and Abuse / Benefit Protection Noridian JE Part A
Attn: Fraud and Abuse/Benefit Protection
PO Box 6710
Fargo ND 58108-6710
Noridian JE Part A
Attn: Fraud and Abuse/Benefit Protection
900 42nd St S
PO Box 6710
Fargo ND 58103-2119
Freedom of Information Act (FOIA) Noridian JE Part A
Attn: FOIA
PO Box 6782
Fargo ND 58108-6782
Noridian JE Part A
Attn: FOIA
900 42nd St S
PO Box 6782
Fargo ND 58103-2119
Investigational Device Exemption (IDE) / Humanitarian Device Exemption (HDE) Noridian JE Part A
Attn: IDE/HDE
PO Box 6782
Fargo ND 58108-6782
Noridian JE Part A
Attn: IDE/HDE
900 42nd St S
PO Box 6782
Fargo ND 58103-2119
LCD: New LCD Request Noridian JE Part A
Attn: New LCD Request
PO Box 6781
Fargo ND 58108-6781
Noridian JE Part A
Attn: New LCD Request
900 42nd St S
PO Box 6781
Fargo ND 58103-2119
LCD Reconsideration Noridian JE Part A
Attn: LCD Reconsideration
PO Box 6781
Fargo ND 58108-6781
Noridian JE Part A
Attn: LCD Reconsideration
900 42nd St S
PO Box 6781
Fargo ND 58103-2119
Post Pay Medical Review Noridian JE Part A
Attn: Post Pay Medical Review
PO Box 6782
Fargo ND 58108-6782
Noridian JE Part A
Attn: Post Pay Medical Review
900 42nd St S
PO Box 6782
Fargo ND 58103-2119
PWK (paperwork) Noridian JE Part A
Attn: PWK
PO Box 6782
Fargo ND 58108-6782
Noridian JE Part A
Attn: PWK
900 42nd St S
PO Box 6782
Fargo ND 58103-2119

 

Last Updated Oct 25, 2019