Providers are required to utilize self-service options such as Noridian Medicare Portal (NMP) and the Interactive Voice Response (IVR) system to retrieve claim status and beneficiary eligibility details such as. Customer Service Representatives (CSRs) will refer providers to these resources.
To fully comply with this requirement, Noridian requires providers to obtain the below information from self-service options, when available. Providers without access to NMP must coordinate with his/her employer to gain access.
Beneficiaries must contact Medicare by calling 1-800-Medicare (1-800-633-4227).
Access the below related information from this page:
- Noridian Medicare Portal
- Interactive Voice Response (IVR)
- Provider Contact Center
- User Security
- PCC Assistance Structure
- Resources
Noridian Medicare Portal
Login/Register: //www.noridianmedicareportal.com/
Visit the Portal Guide for additional resources including: Registration Guide, Inquiry Guide, and Education on Demand videos
Inquiry Hours of Availability:
- 24/7:
- Eligibility
- MBI Lookup
- ADR Status and Submission
- CERT Inquiry
- Appeals Status
- Financials
- Full Remittance Advices
- Provider Enrollment
- Prior Authorization Status and Submission
- Same or Similar (Option 2)
- Message Center
- Monday - Friday 4 a.m. - 7 p.m. PT for CA | 4 a.m. - 9 p.m. PT for NV and HI
Saturday: 4 a.m. - 7 p.m. PT for CA | 4 a.m. - 7 p.m. PT for NV and HI:- Claim Status (including Self Service Reopenings & Recoupment Requests)
- Appeals Submission
- Claim Specific Remittances
- Same or Similar (Option 1)
- New User Registration
- Sunday: No Availability
Password/Registration Support: User Security:
- 855-609-9960 (Option 5)
- Monday - Friday: 6 a.m. - 2:30 p.m. PT
Interactive Voice Response (IVR)
Visit the IVR Guide for more details.
Phone: 855-609-9960
Hours:
- General Inquiries - 24/7
- Claim Specific Inquiries
- Monday - Saturday: 4 a.m. - 7 p.m. PT for CA
- Monday - Friday: 4 a.m. - 9 p.m. PT for HI, NV, AS, GU and MP
- Saturday: 4 a.m. - 7 p.m. PT for HI, NV, AS, GU and MP
Note: Eligibility related information provided at the time of an NMP and/or IVR inquiry is as correct and current as available; however, changes may occur daily as Medicare, the Social Security Administration, Health Maintenance Organizations, Home Health Agencies, inpatient facilities, etc. initiate updates to a patient's national file. Due to such ongoing changes, the PCC CSRs will no longer provide callers with an Inquiry ID as a form of NMP and/or IVR information validation for these situations.
Provider Contact Center
Be prepared to have the following information ready:
- National Provider Identifier (NPI)
- Provider Transaction Access Number (PTAN)
- Taxpayer Identification Number (TIN)
Note: CSRs can assist with three (3) inquiries per call.
Phone: 855-609-9960
- Option 1: Part B
- Option 2: Electronic Data Interchange Support Services (EDISS)
- Option 3: Provider Enrollment
- Option 4: Reopenings
Hours:
- Monday - Friday: 6 a.m. - 5 p.m. PT
Telecommunications Device for the Deaf (TTY): 855-549-9874
TTY Hours:
- Monday - Friday: 8 a.m. - 5 p.m. PT
User Security
User Security staff assist with:
- User Account Access
- Assistance with Registration
- Multi Factor Authentication (MFA)
Phone: 855-609-9960 Option 5
Hours:
- Monday - Friday: 6 a.m. - 2:30 p.m. PT
PCC Assistance Structure
Noridian uses a triage approach to manage provider inquiries in accordance with CMS Internet Only Manual (IOM), Publication 100-09, Medicare Contractor Beneficiary and Provider Communications Manual, Chapter 6, Sections 30.1, 30.5 and 30.5.1. The use of self-serve technology enables the PCC to more efficiently handle the increasing volume of provider calls by allowing providers access to certain information without direct personal assistance from contractor staff.
View official instruction in CMS Change Request CR3376.
Resources
- CMS IOM, Publication 100-04, Medicare Claims Processing Manual, Chapter 34
- CMS IOM, Publication 100-09, Medicare Contractor Beneficiary and Provider Communications Manual, Chapter 6, Section 30.1.1 and 50.1 - CMS Self-Service Requirements
If you are a Medicare Fee-for-Service (FFS) provider and you have any question about provider enrollment, such as:
- enrolling, changing your address or opting out of the Medicare FFS program
- where to mail your application
- your National Provider Identifier (NPI) or Provider Transaction Access Number (PTAN)
- revalidation
Visit the Medicare Provider-Supplier Enrollment website on CMS.gov
If you are a Medicare FFS provider and you have any other question, such as:
- how to contact a Medicare Administrative Contractor (MAC)
- claims or coverage issues
Contact your MAC -- You can find your MAC by visiting the Contractor Directory – Interactive Map on CMS.gov
If you are a Medicare beneficiary and have a question about Medicare, such as:
- how to sign up for Medicare/change plans
- Medicare cost, coverage, or supplement insurance (Medigap)
Visit the Medicare website or call 1-800-Medicare
If you have a question specifically related to the content of this Medicare Administrative Contractor (MAC) website that was not covered above:
- Visit the top Frequently Asked Questions (FAQs) (PDF) about MACs or;
- Click on this link to Submit a Question/Comment to CMS
- Fill in all required fields:
- Name
- Email Address
- Date (mm/dd/yyyy)
- Topic: “Medicare Administrative Contractor Questions”
- Enter your "Question/Comment"
- Click the Blue → Button
- Fill in all required fields: