Mailing Addresses - JE Part A
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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
Correspondence may be mailed on paper or electronically via CD, DVD, or USB. See the Options for Submitting Documentation page for more information.
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| 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) 4510 13th Ave S Fargo ND 58103 |
| 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) 4510 13th Ave S Fargo ND 58103 |
| Nevada | Noridian JE Part A Attn: _______ (if applicable) PO Box 6772 Fargo ND 58108-6772 |
Noridian JE Part A Attn: _______ (if applicable) 4510 13th Ave S Fargo ND 58103 |
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 4510 13th Ave S Fargo ND 58103 |
Audit and Reimbursement
|
Noridian JE Part A Attn: Audit and Reimbursement PO Box 6782 Fargo ND 58108-6782 |
Noridian JE Part A Attn: Audit and Reimbursement 4510 13th Ave S Fargo ND 58103 |
| Congressional | Noridian JE Part A Attn: Congressional PO Box 6783 Fargo ND 58108-6783 |
Noridian JE Part A Attn: Congressional 4510 13th Ave S Fargo ND 58103 |
| Contractor Medical Directors (CMDs) | Noridian JE Part A Attn: CMDs PO Box 6781 Fargo ND 58108-6781 |
Noridian JE Part A Attn: CMDs 4510 13th Ave S Fargo ND 58103 |
| Electronic Data Interchange (EDI) | Noridian JE Part A Attn: EDI PO Box 6729 Fargo ND 58108-6729 |
Noridian JE Part A Attn: EDI 4510 13th Ave S Fargo ND 58103 |
| Extended Repayment Schedule | Noridian Medicare JE Part A ATTN: Extended Repayment Schedule PO Box 511367 Los Angeles, CA 90051-7922 |
Noridian Medicare JE Part A ATTN: Extended Repayment Schedule 4510 13th Ave S Fargo ND 58103 |
| 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 4510 13th Ave S Fargo ND 58103 |
| Freedom of Information Act (FOIA) | Noridian JE Part A Attn: FOIA PO Box 6782 Fargo ND 58108-6782 |
Noridian JE Part A Attn: FOIA 4510 13th Ave S Fargo ND 58103 |
| 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 4510 13th Ave S Fargo ND 58103 |
| 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 4510 13th Ave S Fargo ND 58103 |
| LCD Reconsideration | Noridian JE Part A Attn: LCD Reconsideration PO Box 6781 Fargo ND 58108-6781 |
Noridian JE Part A Attn: LCD Reconsideration 4510 13th Ave S Fargo ND 58103 |
| 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 4510 13th Ave S Fargo ND 58103 |
| Pre-Claim Review | Noridian JE Part A PO Box 6782 Fargo, ND 58108-6782 |
|
| PWK (paperwork) | Noridian JE Part A Attn: PWK PO Box 6782 Fargo ND 58108-6782 |
Noridian JE Part A Attn: PWK 4510 13th Ave S Fargo ND 58103 |
Last Updated Fri, 20 Oct 2023 13:12:57 +0000