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Changing Receivers from Palmetto GBA to Noridian


The following changes must be done before you can submit claims to Noridian:

After:

  September 11, 2013 after 11am

(not 9/12 or 9/16)


Once the changes are made you will then be able to submit a Noridian formatted claim.

Step One:
Change the National Plan ID in the insurance listing for Medicare. Menu 8,6,5 and then find your Medicare listing. Edit/Revise it. Make changes as shown below to the Address and phone number and NationalPlanID and Transmit and then save. (Any other information should not be changed)

The address for Noridian is:

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


Phone: 877.288.7600

The new National Plan ND numbers for Noridian are:
Northern California = 01112
Southern California = 01182

Transmit = yes

State  Current Contractor Number  JE Contractor Number  Effective Date
Medicare Part A rollup ID  01001  01011  08/26/2013
California – Part A  01101  01111  08/26/2013
Hawaii,  American Samoa, Guam, and the Northern Marianas – Part A 01201 01211 08/26/2013
Nevada – Part A  01301  01311  08/26/2013
J1 WPS Legacy – Part A  01901  01911  08/26/2013
Northern California – Part B  01102  01112  09/16/2013
Southern California – Part B  01192  01182  09/16/2013
Hawaii, American Samoa, Guam, and the Northern Marianas – Part B  01202 01212 09/16/2013
Nevada – Part B  01302  01312  09/16/2013

This information was correct when it was written, but is subject to change.
Check the website: www.ediss.com for up to date, correct information
 


If you submit all your claims, including Medicare, to a clearinghouse you are finished with the necessary changes

 


If you submit claims directly to Medicare (Palmetto and now Noridian) continue below.

Step Two:
You will need to make changes to the Insurance Control Files. From the main menu choose menus, 8,7,3 and input your form type for Medicare, either 514 or 564 and press enter. On the first screen, make the changes to the Carriernumber below and save: (Any other information should not be changed)

The new Carriernumber IDs for Noridian are:
Northern California = 01112
Southern California = 01182

When you have done this, click the second tab to the left, m6r964.dat and make the changes to the carriernumber below and save. (Any other information should not be changed)

The new Carriernumber IDs for Noridian are:
Northern California = 01112
Southern California = 01182

Once these steps are completed you will be able to have a correctly formatted file for Noridian.

As always, you are welcome to email any comments you have to us at support@stratfordsoftware.com


 

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Last modified: 09/04/13