Table 1 provides the mailbox address that should be used for each JE state. Please use these P.O. Boxes to submit all Claims, Written Correspondence and Non Specialized Correspondence
Example: A Northern California JE provider would use the following address:
Medicare Part B Claims
P.O. Box 6774
Fargo, ND 58108-6774
Part B State | Address |
---|---|
Hawaii, American Samoa, Guam, and the Northern Mariana Islands | PO Box 6777, Fargo ND 58108-6777 |
Nevada | PO Box 6776, Fargo ND 58108-6776 |
Northern California | PO Box 6774, Fargo ND 58108-6774 |
Southern California | PO Box 6775, Fargo ND 58108-6775 |
Table 2 provides the mailbox addresses for Specialized Correspondence. These addresses should be used for all JE states.
Example: A mailing from any JE state would be:
Medicare Part B Overpayment Redetermination Request
P.O. Box 6785
Fargo, ND 58108-6785
Specialized Correspondence | Address |
---|---|
ALJ Hearing Notifications | PO Box 6781, Fargo ND 58108-6781 |
Benefit Protection / Fraud | PO Box 6780, Fargo ND 58108-6780 |
Checks | Noridian JE B Refunds; PO Box 511381, Los Angeles, CA 90051-7936 |
CMD Mail | PO Box 6781, Fargo ND 58108-6781 |
Congressional Mail | PO Box 6781, Fargo ND 58108-6781 |
EDI Support Services | PO Box 6729, Fargo ND 58108-6729 |
EWIF Claims | PO Box 6783, Fargo ND 58108-6783 |
FedEx/Certified Mail | 900 42nd St. S., PO Box XXXX, Fargo, ND 58103-2119 |
FOIA Requests | PO Box 6783, Fargo ND 58108-6783 |
LCD Reconsiderations | PO Box 6783, Fargo ND 58108-6783 |
Overpayment Redetermination Requests | PO Box 6785, Fargo ND 58108-6785 |
Post Pay Medical Review | PO Box 6783, Fargo ND 58108-6783 |
Paperwork (PWK) | PO Box 6783, Fargo ND 58108-6783 |
RAC Redeterminations | PO Box 6789, Fargo ND 58108-6789 |
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