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Clients and Contracts

Since 1966, Noridian has provided health care administration and support services for clients that now span all 50 U.S. states. Our relationships with federal and state governments can be summed up by one term—partnership.

Throughout the years, we have helped clients serve their missions by holding true to ours; delivering affordable solutions to improve the care and health of those we serve.

Noridian is recognized by CMS for innovations in service and cost effectiveness

The Centers for Medicare & Medicaid Services

When CMS reduced the number of Medicare contractors from 88 to nine, Noridian not only remained a contractor but increased to include 15 percent of Medicare work done nationwide.

A/B MAC for Jurisdiction F

  • Manages all aspects of administration and claims processing
  • Represents providers and beneficiaries in Washington, Oregon, Idaho, Alaska, North Dakota, South Dakota, Montana, Wyoming, Utah and Arizona

A/B MAC for Jurisdiction E

  • Manages claims processing, enrolling, educating and auditing Medicare providers
  • Represents providers and beneficiaries in California, Nevada, Hawaii, and the U.S. territories of American Samoa, Guam, and the Northern Mariana Islands.

DME MAC for Jurisdiction D for western and Midwestern U.S. representing 20 percent of all DME work completed for the U.S. government

  • Manages all aspects of administration and claims processing for 31,069 suppliers of DME prosthetics, orthotics and supplies
  • Represents suppliers in Washington, Oregon, Idaho, Nevada, California, Arizona, Utah, Wyoming, Montana, North Dakota, South Dakota, Nebraska, Kansas, Iowa, Missouri, Alaska, Hawaii and the territories of Guam, American Samoa and N. Marina Islands.

Specialty Medicare Contracts

Pricing Data Analysis and Coding Contractor

  • Provide HCPCS coding verification and advice to manufacturers and suppliers of durable medical equipment
  • Serve as subcontractor, supplying IT systems and IT support services nationwide

Jurisdiction B Administrative Law Judge Activities

  • Serve as subcontractor for ALJ hearing coordination services in Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin

Children’s Hospital GME

  • As subcontractor, perform specialized desk review and audit work

State Departments of Health

State of Iowa Department of Human Services – Medicaid Program

  • Operational takeover of the existing MMIS
  • System development and data processing projects
  • Management of mail operations
  • Management of EDI activities
  • Database support

State of Minnesota – Medicaid Program

  • Contractor for Disproportionate Share Hospital (DSH) Audits

State of Montana – Medicaid Program

State of North Dakota – Medicaid Program

Noridian Business Development
P.O. Box 6055
Fargo, ND 58108-6055

©2013 Noridian Healthcare Solutions, LLC
A subsidiary of Noridian Mutual Insurance Company®
Unauthorized use of this site’s content is prohibited.

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