Registration Guide - Portal Guide

1. Enter following required information.
   • First Name
   • Last Name
   • Work Phone
   • Work Email - This must be a unique email address and not used by more than one person.
2. Create a username (must be between seven and 64 characters)
   • Must start with an alpha character.
   • Can only contain the following special characters: dot (.), underscore (_), or hyphen (-)
   • No consecutive special characters
   • Special character cannot be the last character.
3. Create a password. Password requirements are:
   • Password is case sensitive.
   • Must be at least 8 characters long.
   • Must be no more than 50 characters long.
   • Must include at least 1 letter.
   • Must include at least 1 number.
   • Must have at least 1 symbol (non-letter or number) character.
   • Must not repeat any character sequentially more than 2 times.
   • Must have at least 1 lowercase letter.
   • Must have at least 1 uppercase letter.
   • Must not include any of the following values: password test bcbsnd & bcbswy + noridian
   • Must not include part of your name or user name.
   • Must not include a common word or commonly used sequence of characters.
   • Can be changed no more often then once every 1 day.
   • New password may not have been used previously.
4. Type Required text and select Next button.

Once personal information is submitted, a confirmation email is sent from do-not-reply-noridianportal@noridian.com with the subject being "Confirm Email_During_Registration." Click on the Confirmation Link in the email to confirm the account.

Upon successful login, the portal will prompt you to set up your Multi-Factor Authentication (MFA) credentials. For step by step instructions, please visit Multi-Factor Authentication (MFA).

Reminders

• Do not reply to confirmation email. It is automatically generated, and address is not monitored
• Confirmation link is valid for 48 hours. If account is not activated within 48 hours, a user may log into their account and go to Manage Account and a "Resend Registration Email" link can be selected to have the confirmation email resent.

Choose a security question from the pre-selected list of questions and enter an answer. This must be completed five times with a different answer for each question. Each answer must be at least four characters long. Select the Save Answers button when finished.

If a password reset is needed, the Security Questions and Answers are used to reset it. If users have forgotten the answers, Noridian User Security may be contacted.

Confirmation of the account is indicated. Select the Next button to proceed to the next step.

Answer the following questions:

1. Select User Type - Provider/Supplier or Vendor
   • If Provider/Supplier selected, another question is added.
     • Are you a small provider/supplier with less than 25 employees?

2. Your Role (View "Roles" table at top of page for descriptions)
   • Provider Administrator
   • End User
   • Vendor Administrator
   • Vendor End User

1. Enter required information
   • Medicare Program (Part A, Part B, DME)
   • Trading Partner ID (Issued by EDI/CEDI)
     • A Trading Partner ID is NOT required for a DME supplier registration
   • National Provider Identifier (NPI)
     • NPIs must be registered as electronic claim submitters.
   • Provider Transaction Access Number (PTAN)
   • TIN or Social Security Number (SSN)

If registering as a Provider Administrator, the following are required:

• Check Number - Enter check number of one of 50 most recently issued checks by Noridian
  • Part A providers must enter check information issued within last 90 days. Part A check numbers contain "EFT" in front of the check number. Part B check numbers are a series of numbers without "EFT".
• Check Amount - Enter amount of corresponding check number

• DME suppliers must indicate what Jurisdiction the check amount and number was issued from - Jurisdiction A (JA) or Jurisdiction D (JD)

If registering as a Vendor, the following are required:

• Vendor Administrators and Vendor End Users must enter their Vendor Trading Partner ID and the Provider/Supplier Trading Partner ID submitted by the provider.
• DME Vendor Administrators and Vendor End Users must enter same Trading Partner ID that Provider Administrator entered in both fields

Helpful Reminders:

• One TIN/NPI/PTAN combination is needed during registration. Additional combinations may be added by going to Manage Account > Provider/Supplier Combinations once registration is complete.
• Enter group or billing provider combinations only. Do not enter individual provider combinations.

Possible Registration Errors:

After a successful registration, a confirmation will display, and the following actions will be required to gain access to portal. For further assistance or follow-up:

• End Users and Vendor Administrators contact Provider Administrator
• Vendor End User contact Vendor Administrator