Why Is My Claim Denied - JF Part B
Why Is My Claim Denied?
Your facility will receive a Remittance Advice (RA) that provides a short descriptor of the denial reason. We also provide a narrative detail reason on the reviewed claim in the Medicare claim system. You can access these comments in the Noridian Medicare Portal (NMP) under check Claim Status.
Accessing Medical Review Determination in Noridian Portal:
The portal offers access to view claim processing comments if a claim had been selected for prepayment review in which Noridian requested documentation prior to making a claim decision. In the event a claim was not suspended during processing, this option will not be presented.
- Perform a Claim Status Inquiry as described in the portal user manual.
- If the claim had a history of being reviewed for additional documentation, the portal will offer a "Noridian Comments" link in the claim header.
- After selecting this link, the claim processing comments will be retrieved and presented at the bottom of the Claim Status details.
Last Updated Fri, 26 Jun 2020 19:25:38 +0000