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Mailing Addresses

Providers can use the addresses provided below to submit the following types of correspondence: Enrollment  (CMS applications and PECOS Web Certification Statements and supporting documentation), Medicare Secondary Payer (MSP), Paper claims, Redeterminations, Responses to Noridian requests for additional documentation, Written inquiries

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

State

USPS

Certified/Courier Mailings

California - Northern

(All Other Counties)

Noridian JE Part B
Attn: _______ (if applicable)
PO Box 6774
Fargo, ND 58108-6774

Noridian JE Part B
Attn: _______ (if applicable)
900 42nd St S
PO Box 6774
Fargo, ND 58103-6774

California - Southern

(Counties: Ventura, Los Angeles, Orange, Imperial, San Diego, Santa Barbara and San Luis Obispo)

Noridian JE Part B
Attn: _______ (if applicable)
PO Box 6775
Fargo, ND 58108-6775

Noridian JE Part B
Attn: _______ (if applicable)
900 42nd St S
PO Box 6775
Fargo, ND 58103-6775

Hawaii, American Samoa, Guam, Northern Mariana Islands

Noridian JE Part B
Attn: _______ (if applicable)
PO Box 6777
Fargo, ND 58108-6777

Noridian JE Part B
Attn: _______ (if applicable)
900 42nd St S
PO Box 6777
Fargo, ND 58103-6777

Nevada

Noridian JE Part B
Attn: _______ (if applicable)
PO Box 6776
Fargo, ND 58108-6776

Noridian JE Part B
Attn: _______ (if applicable)
900 42nd St S
PO Box 6776
Fargo, ND 58103-6776

 

State Specific Exceptions

Certain types of correspondence requires 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 B
Attn: ALJ
PO Box 6781
Fargo ND 58108-6781

Noridian JE Part B
Attn: ALJ
900 42nd St S
PO Box 6781
Fargo ND 58103-6781

Congressional

Noridian JE Part B
Attn: Congressional
PO Box 6783
Fargo ND 58108-6783

Noridian JE Part B
Attn: Congressional
900 42nd St S
PO Box 6783
Fargo ND 58103-6783

Contractor Medical Directors (CMDs)

Noridian JE Part B
Attn: CMDs
PO Box 6781
Fargo ND 58108-6781

Noridian JE Part B
Attn: CMDs
900 42nd St S
PO Box 6781
Fargo ND 58103-6781

Draft Local Coverage Determination (LCD) Comment Submission

Noridian JE Part B
Attn: Draft LCD Comments
PO Box 6783
Fargo ND 58108-6783

Noridian JE Part B
Attn: Draft LCD Comments
900 42nd St S
PO Box 6783
Fargo ND 58103-6783

Electronic Data Interchange (EDI)

Noridian JE Part B
Attn: EDI
PO Box 6729
Fargo ND 58108-6729

Noridian JE Part B
Attn: EDI
900 42nd St S
PO Box 6729
Fargo ND 58103-6729

Fraud and Abuse / Benefit Protection

Noridian JE Part B
Attn: Fraud and Abuse/Benefit Protection
PO Box 6710
Fargo ND 58108-6710

Noridian JE Part B
Attn: Fraud and Abuse/Benefit Protection
900 42nd St S
PO Box 6710
Fargo ND 58103-6710

Freedom of Information Act (FOIA)

Noridian JE Part B
Attn: FOIA
PO Box 6783
Fargo ND 58108-6783

Noridian JE Part B
Attn: FOIA
900 42nd St S
PO Box 6783
Fargo ND 58103-6783

LCD Reconsideration

Noridian JE Part B
Attn: LCD Reconsideration
PO Box 6783
Fargo ND 58108-6783

Noridian JE Part B
Attn: LCD Reconsideration
900 42nd St S
PO Box 6783
Fargo ND 58103-6783

Medical Review (Including Requested Post Pay Claims)

Noridian JE Part B
Attn: Medical Review
PO Box 6783
Fargo ND 58108-6783

Noridian JE Part B
Attn: Medical Review
900 42nd St S
PO Box 6783
Fargo ND 58103-6783

Overpayment Redetermination Request
(All types of overpayments, including CERT, RA, SMRC and ZPIC)

Noridian JE Part B
Attn: Overpayment Redetermination
PO Box 6785
Fargo ND 58108-6785

Noridian JE Part B
Attn: Overpayment Redetermination
900 42nd St S
PO Box 6785
Fargo ND 58103-6785

PWK (paperwork)

Noridian JE Part B
Attn: PWK
PO Box 6783
Fargo ND 58108-6783

Noridian JE Part B
Attn: PWK
900 42nd St S
PO Box 6783
Fargo ND 58103-6783

Refunds

Noridian JE Part B
Attn: Refunds
PO Box 511381
Los Angeles CA 90051-7936

Noridian JE Part B
Attn: Refunds
PO Box 511381
Los Angeles CA 90051-7936

 

Last Updated Dec 16, 2016