The mailing address for written reopenings is: CGS – Jurisdiction C Written Reopenings PO Box 20010 Nashville, TN 37202 For a reopening with an underpayment, fax the request to 615.782.4649. For a reopening with an overpayment, fax the request to 615.782.4477.
Full Answer
What is the reopening process in Noridian?
Reopening The Reopening process allows suppliers to correct clerical errors or omissions without having to request a formal appeal. Initiate a request online via the Noridian Medicare Portal (NMP), telephone, or in writing. Access the below Reopening related information from this page.
How can I ensure my submitted faxes are received by Noridian?
To ensure your submitted faxes are received by Noridian and processed in a timely manner, follow these five guidelines: There is not a system in place to consolidate multiple fax receipts to a single claim, inquiry, appeal etc.
How do I make a Medicare reopening request?
Written Reopening requests should be made using the Medicare Reopening Request form found on our Forms page. If you wish to send a written request instead of using the Medicare Reopening Request form, be sure to include the following information with your reopening request:
How do I request a claim reopening?
You can find the claim reopening feature using the Reprocessing tab. If you do need to submit a written request for reopenings, send to the following address: For a reopening with an underpayment, fax the request to 615.782.4649. For a reopening with an overpayment, fax the request to 615.782.4477.
How do I submit a reopen to Medicare?
The Reopening process allows providers to correct clerical errors or omissions without having to request a formal appeal. Most reopenings can be initiated through Self Service Reopenings via the Noridian Medicare Portal (NMP). All other requests can be initiated by telephone or in writing.
How do I submit a claim to noridian Medicare?
ContactContact.855-609-9960.
How do I contact noridian?
Contact UsGeneral Questions. [email protected] Beneficiaries. 1-800-Medicare (1-800-633-4227) medicare.gov.Medicare Providers. noridianmedicare.com.
What is a Medicare reopening request?
A reopening is a remedial action taken to change a binding determination or decision that resulted in either an overpayment or an underpayment, even though the determination or decision was correct based on the evidence of record. Reopenings are separate and distinct from the appeals process.
Does noridian accept paper claims?
Claims may be filed to electronically (this applies to most Medicare providers) or on paper (if certain conditions or exceptions exist).
What is noridian Medicare payer ID?
Payer ID 19003. https://med.noridianmedicare.com/web/jddme.
Is noridian the same as Medicare?
Noridian Healthcare Solutions is the Medicare Administrative Contractor for California and is responsible for processing all Medicare fee-for-service Part A and B claims.
How do you contact CMS?
Beneficiaries should call 1-800-MEDICARE (1-800-633-4227), TTY users should call 1-877-486-2048 for all of the following: General questions about the Shared Savings Program. To decline sharing health care information.
What is noridian IVR phone number?
855-609-9960 (Option 5)
What is a Medicare clerical reopening?
A clerical error/omission reopening is an action taken to change an initial determination to correct minor errors or omissions outside of the Medicare appeal process.
Does noridian accept corrected claims?
A claim should only be resubmitted if the claim rejects for missing, invalid, or incomplete information. When a claim processes, a provider should follow the reopening or appeal process to make corrections to the claim. Q19. My patient has a Medicare Advantage Plan and Medicare.
How do I correct a denied Medicare claim?
File your appeal within 120 days of receiving the Medicare Summary Notice (MSN) that lists the denied claim. Circle the item on your MSN that you are appealing and clearly explain why you think Medicare's decision is wrong. You can write on the MSN or attach a separate page.
Request a Reopening
Note: Unprocessable claims with Remittance Advice (RA) message MA130 cannot be reopened. ("Your claim contains incomplete and/or invalid information, and no appeal or Reopening rights are afforded because the claim is unprocessable. Submit a new claim with the complete/correct information.")
Items Too Complex for a Reopening
Submit the below as a Redetermination request with supporting documentation.
Written Reopening
Suppliers may submit a Written Reopening request via mail, fax, or as a Self-Service Reopening in NMP.
What is the DME reopening number?
The DME MAC telephone reopening number is 1-866-813-7878. This line is in service Monday through Friday, from 7 AM to 5 PM, Central Standard Time. Note: The easiest, fastest, and most efficient way to complete a Telephone Reopening request is via the myCGS Web Portal. Use the telephone reopening process to resolve minor errors or omissions ...
Can you appeal a Medicare claim?
There is no need to request an appeal/redetermination if you have made a minor error or omission in filing the claim, which , in turn, caused the claim to be denied. In the case where a minor error or omission is involved, you can request Medicare to reopen the claim so the error or omission can be corrected, rather than having to go through the appeal process.
