Noridian Online Provider Services for Medicare Eligibility, Claim Status and More

Noridian has launched their online provider services (OPS). If you were already a member of the Palmetto OPS then you should receive an email from Endeavor (Noridian OPS). The email will give you a login and password to log into the site.

You will be prompted to change your password. There is a ridiculously long list of can and cannot for your password:

Password Policy: 

• Maximum Length: 8  
• Minimum Length: 8  
• Minimum Lowercase: 1  
• Minimum Number of Character Type Rules That Must Pass: 4  
• Minimum Numeric: 1  
• Minimum Special: 1  
• Minimum Uppercase: 1  
• Must not contain values of attributes: accountID, email, firstname, lastname  
• Must not contain words: ", `, ~, !, (, ), _, -, +, =, {, [, }, ], |, \, :, ;, ^, ', <, ,, >, ., ?, /, 0, 1, o, O, i, I, l, L, &

On Endeavor you will be able to:

• Verify beneficiary eligibility
• Claim status
• Remittance advice
• Reopening/appeal status
• DME overpayment inquiries
• PMD prior authorization status

Once you verify a beneficiaries eligibility you can review the following benefit information:

• Eligibility
• HMO/MCO coverage
• MSP (Medicare secondary payer) coverage
• HHEH (home health eligibility history)
• Hospice, hospital, SNF (skilled nursing facility)
• ESRD (end stage renal disease)
• Preventative services

I particularly like the preventative services information. Endeavor lists the CPT code for a preventative service, then a description of the service and the next eligible date that the beneficiary can receive these benefits. This takes the guess work out of, "have you received a physical anywhere else in the last year?". I wish they would do this with more limited/global services.

Endeavor offers tutorials for use of their OPS site.