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
- Refunds
- 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
X
| State | USPS | Certified/Courier Mailings |
|---|---|---|
| Alaska | Noridian JF Part B Attn: _______ (if applicable) PO Box 6703 Fargo, ND 58108-6703 | Noridian JF Part B Attn: _______ (if applicable) 900 42nd St S PO Box 6703 Fargo, ND 58103-6703 |
| Arizona | Noridian JF Part B Attn: _______ (if applicable) PO Box 6704 Fargo, ND 58108-6704 | Noridian JF Part B Attn: _______ (if applicable) 900 42nd St S PO Box 6704 Fargo, ND 58103-6704 |
| Idaho | Noridian JF Part B Attn: _______ (if applicable) PO Box 6701 Fargo, ND 58108-6701 | Noridian JF Part B Attn: _______ (if applicable) 900 42nd St S PO Box 6701 Fargo, ND 58103-6701 |
| Montana | Noridian JF Part B Attn: _______ (if applicable) PO Box 6735 Fargo, ND 58108-6735 | Noridian JF Part B Attn: _______ (if applicable) 900 42nd St S PO Box 6735 Fargo, ND 58103-6735 |
| North Dakota | Noridian JF Part B Attn: _______ (if applicable) PO Box 6706 Fargo, ND 58108-6706 | Noridian JF Part B Attn: _______ (if applicable) 900 42nd St S PO Box 6706 Fargo, ND 58103-6706 |
| Oregon | Noridian JF Part B Attn: _______ (if applicable) PO Box 6702 Fargo, ND 58108-6702 | Noridian JF Part B Attn: _______ (if applicable) 900 42nd St S PO Box 6702 Fargo, ND 58103-6702 |
| South Dakota | Noridian JF Part B Attn: _______ (if applicable) PO Box 6707 Fargo, ND 58108-6707 | Noridian JE Part B Attn: _______ (if applicable) 900 42nd St S PO Box 6707 Fargo, ND 58103-6707 |
| Utah | Noridian JF Part B Attn: _______ (if applicable) PO Box 6725 Fargo, ND 58108-6725 | Noridian JF Part B Attn: _______ (if applicable) 900 42nd St S PO Box 6725 Fargo, ND 58103-6725 |
| Washington | Noridian JF Part B Attn: _______ (if applicable) PO Box 6700 Fargo, ND 58108-6700 | Noridian JF Part B Attn: _______ (if applicable) 900 42nd St S PO Box 6700 Fargo, ND 58103-6700 |
| Wyoming | Noridian JF Part B Attn: _______ (if applicable) PO Box 6708 Fargo, ND 58108-6708 | Noridian JF Part B Attn: _______ (if applicable) 900 42nd St S PO Box 6708 Fargo, ND 58103-6708 |
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 JF Part B Attn: ALJ PO Box 6781 Fargo ND 58108-6781 | Noridian JF Part B Attn: ALJ 900 42nd St S PO Box 6781 Fargo ND 58103-6781 |
| Congressional | Noridian JF Part B Attn: Congressional PO Box 6723 Fargo ND 58108-6723 | Noridian JF Part B Attn: Congressional 900 42nd St S PO Box 6723 Fargo ND 58103-6723 |
| Contractor Medical Directors (CMDs) | Noridian JF Part B Attn: CMDs PO Box 6781 Fargo ND 58108-6781 | Noridian JF Part B Attn: CMDs 900 42nd St S PO Box 6781 Fargo ND 58103-6781 |
| Draft Local Coverage Determination (LCD) Comment Submission | Noridian JF Part B Attn: Draft LCD Comments PO Box 6781 Fargo ND 58108-6781 | Noridian JF Part B Attn: Draft LCD Comments 900 42nd St S PO Box 6781 Fargo ND 58103-6781 |
| Electronic Data Interchange (EDI) | Noridian JF Part B Attn: EDI PO Box 6729 Fargo ND 58108-6729 | Noridian JF Part B Attn: EDI 900 42nd St S PO Box 6729 Fargo ND 58103-6729 |
| Fraud and Abuse / Benefit Protection | Noridian JF Part B Attn: Fraud and Abuse/Benefit Protection PO Box 6710 Fargo ND 58108-6710 | Noridian JF 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 JF Part B Attn: FOIA PO Box 6723 Fargo ND 58108-6723 | Noridian JF Part B Attn: FOIA 900 42nd St S PO Box 6723 Fargo ND 58103-6723 |
| LCD: New LCD Request | Noridian JF Part B Attn: New LCD Request PO Box 6781 Fargo ND 58108-6781 | Noridian JF Part B Attn: New LCD Request 900 42nd St S PO Box 6781 Fargo ND 58103-6781 |
| LCD Reconsideration | Noridian JF Part B Attn: LCD Reconsideration PO Box 6781 Fargo ND 58108-6781 | Noridian JF Part B Attn: LCD Reconsideration 900 42nd St S PO Box 6781 Fargo ND 58103-6781 |
| Medical Review (Including Requested Post Pay Claims) | Noridian JF Part B Attn: Medical Review PO Box 6723 Fargo ND 58108-6723 | Noridian JF Part B Attn: Medical Review 900 42nd St S PO Box 6723 Fargo ND 58103-6723 |
| Overpayment Redetermination Request (All types of overpayments, including CERT, RA, SMRC and UPIC) | Noridian JF Part B Attn: Overpayment Redetermination PO Box 6745 Fargo ND 58108-6785 | Noridian JF Part B Attn: Overpayment Redetermination 900 42nd St S PO Box 6745 Fargo ND 58103-6785 |
| PWK (paperwork) | Noridian JF Part B Attn: PWK PO Box 6723 Fargo ND 58108-6723 | Noridian JF Part B Attn: PWK 900 42nd St S PO Box 6723 Fargo ND 58103-6723 |
| Refunds | Noridian JF Part B Attn: Refunds PO Box 511359 Los Angeles CA 90051-7914 | Noridian JF Part B Attn: Refunds PO Box 511359 Los Angeles CA 90051-7914 |
Last Updated Jan 09, 2019