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
Alaska Noridian JF Part A
Attn: _________ (if applicable)
PO Box 6720
Fargo, ND 58108-6720
Noridian JF Part A
Attn: _________ (if applicable)
900 42nd St S
Fargo, ND 58103-2119
Arizona Noridian JF Part A
Attn: _________ (if applicable)
PO Box 6730
Fargo, ND 58108-6730
Noridian JF Part A
Attn: _________ (if applicable)
900 42nd St S
Fargo, ND 58103-2119
Idaho Noridian JF Part A
Attn: _________ (if applicable)
PO Box 6726
Fargo, ND 58108-6726
Noridian JF Part A
Attn: _________ (if applicable)
900 42nd St S
Fargo, ND 58103-2119
Montana Noridian JF Part A
Attn: _________ (if applicable)
PO Box 6732
Fargo, ND 58108-6732
Noridian JF Part A
Attn: _________ (if applicable)
900 42nd St S
Fargo, ND 58103-2119
North Dakota Noridian JF Part A
Attn: _________ (if applicable)
PO Box 6709
Fargo, ND 58108-6709
Noridian JF Part A
Attn: _________ (if applicable)
900 42nd St S
Fargo, ND 58103-2119
Oregon Noridian JF Part A
Attn: _________ (if applicable)
PO Box 6726
Fargo, ND 58108-6726
Noridian JF Part A
Attn: _________ (if applicable)
900 42nd St S
Fargo, ND 58103-2119
South Dakota Noridian JF Part A
Attn: _________ (if applicable)
PO Box 6733
Fargo, ND 58108-6733
Noridian JF Part A
Attn: _________ (if applicable)
900 42nd St S
Fargo, ND 58103-2119
Utah Noridian JF Part A
Attn: _________ (if applicable)
PO Box 6724
Fargo, ND 58108-6724
Noridian JF Part A
Attn: _________ (if applicable)
900 42nd St S
Fargo, ND 58103-2119
Washington Noridian JF Part A
Attn: _________ (if applicable)
PO Box 6720
Fargo, ND 58108-6720
Noridian JF Part A
Attn: _________ (if applicable)
900 42nd St S
Fargo, ND 58103-2119
Wyoming Noridian JF Part A
Attn: _________ (if applicable)
PO Box 6734
Fargo, ND 58108-6734
Noridian JF Part A
Attn: _________ (if applicable)
900 42nd St S
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
Audit and Reimbursement
  • Cost Reports
  • Cost Report Reopening
  • Credit Balance Reports
Noridian JF Part A
Attn: Audit and Reimbursement
PO Box 6722
Fargo ND 58108-6722
Noridian JF Part A
Attn: Audit and Reimbursement
900 42nd St S
Fargo ND 58103-2119
Contractor Medical Directors (CMDs) Noridian JF Part A
Attn: CMDs
PO Box 6781
Fargo ND 58108-6781
Noridian JF Part A
Attn: CMDs
900 42nd St S
Fargo ND 58103-2119
Congressional Noridian JF Part A
Attn: Congressional
PO Box 6723
Fargo, ND 58108-6723
Noridian JF Part A
Attn: Congressional
900 42nd St S
Fargo, ND 58103-2119
Electronic Data Interchange (EDI) Noridian JF Part A
Attn: EDI
PO Box 6729
Fargo, ND 58108-6729
Noridian JF Part A
Attn: EDI
900 42nd St S
Fargo, ND 58103-2119
Extended Repayment Schedule Noridian Medicare JF Part A
ATTN: Extended Repayment Schedule
PO Box 511344
Los Angeles, CA 90051-7899
Noridian Medicare JF Part A
ATTN: Extended Repayment Schedule
900 42nd St S
Fargo, ND 58103-2119
Freedom of Information Act (FOIA) Noridian JF Part A
Attn: FOIA
PO Box 6722
Fargo, ND 58108-6722
Noridian JF Part A
Attn: FOIA
900 42nd St S
Fargo, ND 58103-2119
Fraud and Abuse/Benefit Protection Noridian JF Part A
Attn: Fraud and Abuse/Benefit Protection
PO Box 6710
Fargo, ND 58108-6710
Noridian JF Part A
Attn: Fraud and Abuse/Benefit Protection
900 42nd St S
Fargo, ND 58103-2119
LCD: New LCD Request Noridian JF Part A
Attn: New LCD Request
PO Box 6781
Fargo ND 58108-6781
Noridian JF Part A
Attn: New LCD Request
900 42nd St S
Fargo ND 58103-2119
LCD Reconsideration Noridian JF Part A
Attn: LCD Reconsideration
PO Box 6781
Fargo, ND 58103-6781
Noridian JF Part A
Attn: LCD Reconsideration
900 42nd St S
Fargo, ND 58103-2119
Medical Review (Including Requested Post Pay Claims) Noridian JF Part A
Attn: Medical Review
PO Box 6722
Fargo, ND 58108-6722
Noridian JF Part A
Attn: Medical Review
900 42nd St S
Fargo, ND 58103-2119
Pre-Claim Review Noridian JF Part A
PO Box 6722
Fargo, ND 58108-6782
 

 

Last Updated Mon, 10 Oct 2022 12:41:29 +0000