Article Detail - JE Part B
Noridian Medicare Portal to Verify HMO Eligibility and Reduce Claim Errors
Every month Noridian receives thousands of claims sent in error. Many beneficiaries choose a Medicare replacement plan for their coverage, instead of Noridian Fee-For-Service Medicare. These claims should be sent to the appropriate Health Maintenance Organization (HMO), Medicare Advantage Plan or Preferred Provider Organization (PPO) for processing.
You will see a claim denial on your remittance advice with the codes CO-24, or a CO-109.
To avoid this error and shorten the amount of time it takes to get paid for claims, use the Noridian Medicare Portal (NMP) to identify Primary and Secondary payers before billing.
You can learn how to do this by reviewing our Tutorial on YouTube:
Noridian Medicare Portal: Eligibility - YouTube
For additional information on the various topics check out the Webinars put on by Provider Outreach on utilizing the Noridian Medicare Portal on the Schedule of Events page.
Last Updated Fri, 19 Feb 2021 18:43:14 +0000