Noridian Healthcare Solutions (MAC JE/JF)

Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

fax prior auth

JE/JF Part A prior authorization fax (hospital outpatient department services)

Official page read
Phone

No phone listed for this route

Fax

701-277-2903

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

Part A prior authorization request fax, JE and JF (e.g., hospital outpatient department prior authorization program).

fax prior auth

JE/JF Part B RSNAT and ASC prior authorization fax

Official page read
Phone

No phone listed for this route

Fax

701-433-3024

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

Part B Medical Review fax for repetitive scheduled non-emergent ambulance transport (RSNAT) and ambulatory surgical center (ASC) prior authorization requests, JE and JF.

fax prior auth

JE Part A Inpatient Rehabilitation Facility Review Choice Demonstration (IRF RCD) fax

Official page read
Phone

No phone listed for this route

Fax

701-282-1479

Published hours

Not published in this record

Product, plan and location

medicare
California · Hawaii · Nevada · American Samoa · Guam · Northern Mariana Islands

Mailing address

Not researched for this route

IRF Review Choice Demonstration submissions for JE Part A (California IRFs).

View source ↗ · Source checked 2026-10-25

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prior authorization

JE Part A prior authorization mailing address

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicare
California · Hawaii · Nevada · American Samoa · Guam · Northern Mariana Islands

Mailing address
Noridian JE Part A PO Box 6782 Fargo, ND 58108-6782

JE Part A prior authorization requests

Mailing address for JE Part A prior authorization requests.

View source ↗ · Source checked 2026-10-25

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Call preparation · editorial guide

Make the call count.

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

Have ready in your secure workspace

  • Ordering and rendering provider details
  • Service codes, requested dates and units
  • Existing authorization or submission reference

Questions to resolve

  • Is this the correct reviewer for this service and product?
  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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