Noridian Healthcare Solutions (MAC JE/JF)

Denials, appeals and grievances

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fax appeals

JE/JF Part A and Part B general written inquiries, MSP, PWK and redeterminations fax

Official page read

Phone

No phone listed for this route

Fax

701-277-7852

Published hours

Not published in this record

Product, plan and location

medicare
California · Hawaii · Nevada · American Samoa · Guam · Northern Mariana Islands · Alaska · Arizona · Idaho · Montana · North Dakota · Oregon · South Dakota · Utah · Washington · Wyoming

Mailing address

Not researched for this route

Noridian does not accept initial/new claim forms by fax; send one fax per claim/request with a cover sheet naming the department. Shared Noridian fax for general written inquiries, Medicare Secondary Payer, PWK (paperwork), redeterminations and (Part B) written reopenings in both JE and JF, Part A and Part B. Also used for Part B prepayment medical review documentation and Part A non-medical ADRs.

View source ↗ · Source checked 2026-10-25 · JE Part A fax list ↗ · JF Part A fax list ↗ · JF Part B fax list ↗

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Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

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Denial notice, remittance and reason codes
Previous appeal confirmation and decision
Supporting evidence and any required authorization to represent the member

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