Monday, September 16, 2013

JE Part B Mailing Addresses for Written Correspondence - Effective September 16, 2013

Noridian has established PO Boxes as outlined in the Tables below. Please use this information to ensure timely processing. We have included the mailing address for FedEx/Certified Mail in the Specialized Correspondence table. When mailing to the street address, please include the PO Box specific to your state on the second line of the mailing label. This will help assist in the mail sorting.

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 StateAddress
Hawaii, American Samoa, Guam, and the
Northern Mariana Islands
PO Box 6777, Fargo ND 58108-6777
NevadaPO Box 6776, Fargo ND 58108-6776
Northern CaliforniaPO Box 6774, Fargo ND 58108-6774
Southern CaliforniaPO 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 CorrespondenceAddress
ALJ Hearing NotificationsPO Box 6781, Fargo ND 58108-6781
Benefit Protection / FraudPO Box 6780, Fargo ND 58108-6780
ChecksNoridian JE B Refunds; PO Box 511381, Los Angeles, CA 90051-7936
CMD MailPO Box 6781, Fargo ND 58108-6781
Congressional MailPO Box 6781, Fargo ND 58108-6781
EDI Support ServicesPO Box 6729, Fargo ND 58108-6729
EWIF ClaimsPO Box 6783, Fargo ND 58108-6783
FedEx/Certified Mail900 42nd St. S., PO Box XXXX, Fargo, ND 58103-2119
FOIA RequestsPO Box 6783, Fargo ND 58108-6783
LCD ReconsiderationsPO Box 6783, Fargo ND 58108-6783
Overpayment Redetermination RequestsPO Box 6785, Fargo ND 58108-6785
Post Pay Medical ReviewPO Box 6783, Fargo ND 58108-6783
Paperwork (PWK)PO Box 6783, Fargo ND 58108-6783
RAC RedeterminationsPO Box 6789, Fargo ND 58108-6789

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