med.noridianmedicare.com Open in urlscan Pro
138.69.205.47  Public Scan

Form analysis
2 forms found in the DOM

GET /web/portalguide/search

<form id="search-form" method="get" action="/web/portalguide/search">
  <button id="search_icon" class="search_go" title="Search"></button>
  <input type="text" name="_3_keywords" title="Search Input" value="" id="keywords">
  <button id="search_button" class="go" title="Search"></button>
</form>

Name: hrefFm — POST #

<form action="#" class="hide" id="hrefFm" method="post" name="hrefFm" aria-hidden="true"><span></span><input hidden="" type="submit"></form>

Text Content

NAVIGATION

 * Skip to Content

Skip over navigation


NORIDIAN MEDICARE PORTAL (NMP)

User Guidance

 * Contact and Support




 * REGISTRATION
   
   
   REGISTRATION
   
    * Registration Guide
    * Registration Checklist
   
    * Multi-Factor Authentication (MFA)
   
    * Security Awareness Training and Recertification


 * INQUIRY GUIDE
   
   
   INQUIRY GUIDE
   
    * Eligibility
      * MBI Lookup Inquiry
    * Claim Status
      * ADR Status and Submission
      * Appeals (Part A Only)
      * CID Status Lookup
      * Self Service Reopenings (DME)
      * Self Service Reopenings (Part B)
   
    * Appeals Status (Part B and DME)
      * Begin New Appeal
    * Remittance Advices
    * Financials
      * Overpayments
      * 1099s
   
    * Same or Similar (DME Only)
    * Prior Authorizations (DME)
    * Prior Authorizations (Part A)
    * Provider Audit (Part A Only)
    * Provider Enrollment
    * Message Center


 * PROVIDER ADMINISTRATION
   
   
   PROVIDER ADMINISTRATION
   
    * New User Registrations
    * Function and Combination Changes
   
    * Removing Organizations
    * Manage Users
   
    * Reports


 * ACCOUNT MANAGEMENT
   
   NnavigationItem has no children


 * CONTACT AND SUPPORT
   
   
   CONTACT AND SUPPORT
   
    * Acronyms and Glossary
    * NMP Browser Compatibility
   
    * Privacy Policy / Terms
   
    * Site Map


 * LATEST UPDATES AND EDUCATION
   
   
   LATEST UPDATES AND EDUCATION
   
    * Education on Demand
    * Latest Updates
    * Registration FAQs
   
   
   


PRIOR AUTHORIZATIONS (PART A) - PORTAL GUIDE

 * Portal Guide /
 * Inquiry Guide /
 * Prior Authorizations (Part A)




INQUIRY GUIDE

 * Eligibility
 * Claim Status
 * Appeals Status (Part B and DME)
 * Remittance Advices
 * Financials
 * Same or Similar (DME Only)
 * Prior Authorizations (DME)
 * Prior Authorizations (Part A)
 * Provider Audit (Part A Only)
 * Provider Enrollment
 * Message Center


PRIOR AUTHORIZATIONS (PART A)

Available for: Part A


SUBMIT NEW PRIOR AUTHORIZATION REQUEST

Part A users may submit a request for a new Prior Authorization request by
completing and uploading the Prior Authorization coversheet. As of June 17,
2020, Prior Authorizations are only required for certain Hospital Outpatient
Department (OPD) services.

Services HCPCS Code Blepharoplasty, Eyelid Surgery, Brow Lift and related
services 15820 - 15823, 67900 - 67904, 67906, 67908, 67911 Botulinum Toxin
Injection 64612, 64615, J0585 - J0588 Cervical Fusion with Disc Removal 22551,
22552 Implanted Spinal Neurostimulators 63650 Panniculectomy, Excision of Excess
Skin and Subcutaneous Tissue (Including Lipectomy) and related services 15830,
15847, 15877 Rhinoplasty and related services 20912, 21210, 30400, 30410, 30420,
30430, 30435, 30450, 30460, 30462, 30465, 30520 Vein Ablation and related
services 36473 - 36476, 36478, 36479, 36482, 36483

 

Choose Prior Authorizations from the Main Menu and then the Submit New Prior
Auth Tab.

 * Select the Provider/Supplier Details
   * TIN or SSN
   * NPI
   * PTAN
 * Enter the Beneficiary Details
   * Medicare Number
   * First Name
   * Last Name
   * Date of Birth
 * Enter or Choose the Requestor Details (* indicates the field is required)
   * Requestor Name*
   * Requestor Phone
   * Requestor Email Address
   * Requestor Fax Number
   * Requestor Address
   * Requestor City
   * Requestor State
   * Requestor Zip Code
 * Enter the Facility Details
   * Facility Name
   * Facility NPI (will auto-populate from the Provider/Supplier Details)
   * Facility PTAN (will auto-populate from the Provider/Supplier Details)
   * Facility Address
   * Facility City
   * Facility State
   * Facility Zip Code
 * Enter or Choose the Physician/Provider Details (* indicates the field is
   required)
   * Provider Name*
   * Provider PTAN*
   * Provider NPI*
   * Provider Address
   * Provider City
   * Provider State
   * Provider Zip Code
 * Complete the Prior Authorization Request Details
   * Procedure Code
   * Number of Units
   * Anticipated Date of Service
   * Diagnosis Code
   * Type of Bill
   * Initial Request or Resubmission?
   * Expedited Request?
 * Supporting Documentation may be uploaded to support the Prior Authorization
   * File size is limited to 70 MB
   * File types supported are GIF, JPG, JPEG, TIF, TIFF, DOC, DOCX, XLS, XLSX,
     PDF
 * Choose Submit

Once the request has been submitted, a Reference Number will be provided.
Additional supporting documentation may be uploaded after 15 minutes to allow
the initial request to process.


PRIOR AUTHORIZATION REQUEST STATUS

Part A users may check the status of Prior Authorization requests, view the
reviewer notes, and add/view related documents.


INQUIRY

 * Select Prior Authorizations from home page then choose Prior Auth Inquiry
 * Choose TIN or SSN, NPI and PTAN combination under Provider/Supplier Details
 * Enter Medicare Number and First and Last Name submitted on the Prior
   Authorization Request
 * Enter HCPCS Code submitted on the request


RESPONSE

The portal provides the following information:

 * Unique Tracking Number
 * Reference Number
 * Receipt Date
 * Complete Date
 * Review Status
 * Decision
 * View Notes - View notes from prior authorization request reviewer
 * Related Documents - Add or View documents related to the prior authorization
   request


PRIOR AUTHORIZATION EXEMPTION INQUIRY


INQUIRY

 * Choose Exemption Inquiry tab under Prior Authorizations.
 * Choose TIN, NPI and PTAN if needed.
 * Choose Submit Inquiry


RESPONSE

The response page provides a summary of the provider information that was used
in the search.

Below that the Portal provides the following:

 * Letter Date
 * Reference Number
 * Download Letter
   * Choose the download link to few a copy of the Prior Authorization Exemption
     letter.

 

Last Updated Mar 14 , 2022




 * CONTACT

 * Contact
 * Privacy Policy/Terms


 * SUPPORT

 * NMP Browser Compatibility
 * Site Map
 * Adobe Reader  

 * Bookmark this page
   Text Size: A A A


 * TOOLS

 * Acronyms/Glossary

 


 * EXTERNAL RESOURCES

 * CMS website  
 * Internet Only Manuals  

footer-keep-current



© 2022 Noridian Healthcare Solutions, LLC Terms & Privacy


USER LICENSE AGREEMENT AND CONSENT TO MONITORING

End User Agreements for Providers

Some of the Provider information contained on the Noridian Medicare web site is
copyrighted by the American Medical Association, the American Dental
Association, and/or the American Hospital Association. This includes items such
as CPT codes, CDT codes, ICD-10 and other UB-04 codes.

Before you can enter the Noridian Medicare site, please read and accept an
agreement to abide by the copyright rules regarding the information you find
within this site. If you choose not to accept the agreement, you will return to
the Noridian Medicare home page.

THE LICENSES GRANTED HEREIN ARE EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF
ALL TERMS AND CONDITIONS CONTAINED IN THESE AGREEMENTS. BY CLICKING ABOVE ON THE
LINK LABELED "I Accept", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD
AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THESE AGREEMENTS.

IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK ABOVE
ON THE LINK LABELED "I Do Not Accept" AND EXIT FROM THIS COMPUTER SCREEN.

IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE
AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE
TERMS OF THESE AGREEMENTS CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE
ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION
ON BEHALF OF WHICH YOU ARE ACTING.

LICENSE FOR USE OF "PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY", (CPT)
FOURTH EDITION

End User/Point and Click Agreement:

CPT codes, descriptions and other data only are copyright 2002-2020 American
Medical Association (AMA). All Rights Reserved. CPT is a trademark of the AMA.

You, your employees and agents are authorized to use CPT only as contained in
the following authorized materials: Local Coverage Determinations (LCDs),
training material, publications, and Medicare guidelines, internally within your
organization within the United States for the sole use by yourself, employees
and agents. Use is limited to use in Medicare, Medicaid, or other programs
administered by the Centers for Medicare and Medicaid Services (CMS). You agree
to take all necessary steps to ensure that your employees and agents abide by
the terms of this agreement. You acknowledge that the AMA holds all copyright,
trademark, and other rights in CPT.

Any use not authorized herein is prohibited, including by way of illustration
and not by way of limitation, making copies of CPT for resale and/or license,
transferring copies of CPT to any party not bound by this agreement, creating
any modified or derivative work of CPT, or making any commercial use of CPT.
License to use CPT for any use not authorized here in must be obtained through
the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL
60610. Applications are available at the AMA Web site, https://www.ama-assn.org.

This product includes CPT which is commercial technical data and/or computer
data bases and/or commercial computer software and/or commercial computer
software documentation, as applicable which were developed exclusively at
private expense by the American Medical Association, 515 North State Street,
Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce,
release, perform, display, or disclose these technical data and/or computer data
bases and/or computer software and/or computer software documentation are
subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June
1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and
DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense
procurements and the limited rights restrictions of FAR 52.227-14 (June 1987)
and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987)
and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR
Supplements, for non-Department Federal procurements.

AMA Disclaimer of Warranties and Liabilities
CPT is provided "as is" without warranty of any kind, either expressed or
implied, including but not limited to, the implied warranties of merchantability
and fitness for a particular purpose. The AMA warrants that due to the nature of
CPT, it does not manipulate or process dates, therefore there is no Year 2000
issue with CPT. The AMA disclaims responsibility for any errors in CPT that may
arise as a result of CPT being used in conjunction with any software and/or
hardware system that is not Year 2000 compliant. No fee schedules, basic unit,
relative values or related listings are included in CPT. The AMA does not
directly or indirectly practice medicine or dispense medical services. The
responsibility for the content of this file/product is with Noridian Healthcare
Solutions or the CMS and no endorsement by the AMA is intended or implied. The
AMA disclaims responsibility for any consequences or liability attributable to
or related to any use, non-use, or interpretation of information contained or
not contained in this file/product.

CMS Disclaimer
The scope of this license is determined by the AMA, the copyright holder. Any
questions pertaining to the license or use of the CPT must be addressed to the
AMA. End Users do not act for or on behalf of the CMS. The CMS DISCLAIMS
RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. The
CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR
OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no
event shall CMS be liable for direct, indirect, special, incidental, or
consequential damages arising out of the use of such information or material.

This license will terminate upon notice to you if you violate the terms of this
license. The AMA is a third-party beneficiary to this license.

LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")

End User/Point and Click Agreement

These materials contain Current Dental Terminology, (CDT), copyright © 2020
American Dental Association (ADA). All rights reserved. CDT is a trademark of
the ADA.

1. Subject to the terms and conditions contained in this Agreement, you, your
employees, and agents are authorized to use CDT only as contained in the
following authorized materials and solely for internal use by yourself,
employees and agents within your organization within the United States and its
territories. Use of CDT is limited to use in programs administered by Centers
for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to
ensure that your employees and agents abide by the terms of this agreement. You
acknowledge that the ADA holds all copyright, trademark and other rights in CDT.
You shall not remove, alter, or obscure any ADA copyright notices or other
proprietary rights notices included in the materials.

2. Any use not authorized herein is prohibited, including by way of illustration
and not by way of limitation, making copies of CDT for resale and/or license,
transferring copies of CDT to any party not bound by this agreement, creating
any modified or derivative work of CDT, or making any commercial use of CDT.
License to use CDT for any use not authorized herein must be obtained through
the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611.
Applications are available at the American Dental Association web site,
http://www.ADA.org.

3. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of
Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to
Government use. Please click here to see all U.S. Government Rights Provisions.

4. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT is provided "as is" without
warranty of any kind, either expressed or implied, including but not limited to,
the implied warranties of merchantability and fitness for a particular purpose.
No fee schedules, basic unit, relative values or related listings are included
in CDT. The ADA does not directly or indirectly practice medicine or dispense
dental services. The sole responsibility for the software, including any CDT and
other content contained therein, is with (insert name of applicable entity) or
the CMS; and no endorsement by the ADA is intended or implied. The ADA expressly
disclaims responsibility for any consequences or liability attributable to or
related to any use, non-use, or interpretation of information contained or not
contained in this file/product. This Agreement will terminate upon notice to you
if you violate the terms of this Agreement. The ADA is a third-party beneficiary
to this Agreement.

5. CMS DISCLAIMER. The scope of this license is determined by the ADA, the
copyright holder. Any questions pertaining to the license or use of the CDT
should be addressed to the ADA. End users do not act for or on behalf of the
CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE
OF THE CDT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS,
OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS
LICENSE. In no event shall CMS be liable for direct, indirect, special,
incidental, or consequential damages arising out of the use of such information
or material.

LICENSE FOR NATIONAL UNIFORM BILLING COMMITTEE ("NUBC")

Point and Click American Hospital Association Copyright Notice

Copyright © 2021, the American Hospital Association, Chicago, Illinois.
Reproduced with permission. No portion of the AHA copyrighted materials
contained within this publication may be copied without the express written
consent of the AHA. AHA copyrighted materials including the UB-04 codes and
descriptions may not be removed, copied, or utilized within any software,
product, service, solution or derivative work without the written consent of the
AHA. If an entity wishes to utilize any AHA materials, please contact the AHA at
312-893-6816

Making copies or utilizing the content of the UB-04 Manual or UB-04 Data File,
including the codes and/or descriptions, for internal purposes, resale and/or to
be used in any product or publication; creating any modified or derivative work
of the UB-04 Manual and/or codes and descriptions; and/or making any commercial
use of UB-04 Manual / Data File or any portion thereof, including the codes
and/or descriptions, is only authorized with an express license from the
American Hospital Association.

To obtain comprehensive knowledge about the UB-04 codes, the Official UB-04 Data
Specification Manual is available for purchase on the American Hospital
Association Online Store. To license the electronic data file of UB-04 Data
Specifications, contact AHA at (312) 893-6816. You may also contact AHA at
ub04@healthforum.com.

 

Consent to Monitoring

Warning: you are accessing an information system that may be a U.S. Government
information system. If this is a U.S. Government information system, CMS
maintains ownership and responsibility for its computer systems. Users must
adhere to CMS Information Security Policies, Standards, and Procedures. For U.S.
Government and other information systems, information accessed through the
computer system is confidential and for authorized users only. By continuing
beyond this notice, users consent to being monitored, recorded, and audited by
company personnel. Unauthorized or illegal use of the computer system is
prohibited and subject to criminal and civil penalties. The use of the
information system establishes user's consent to any and all monitoring and
recording of their activities.

Note: The information obtained from this Noridian website application is as
current as possible. There are times in which the various content contributor
primary resources are not synchronized or updated on the same time interval.

This warning banner provides privacy and security notices consistent with
applicable federal laws, directives, and other federal guidance for accessing
this Government system, which includes all devices/storage media attached to
this system. This system is provided for Government authorized use only.
Unauthorized or improper use of this system is prohibited and may result in
disciplinary action and/or civil and criminal penalties. At any time, and for
any lawful Government purpose, the government may monitor, record, and audit
your system usage and/or intercept, search and seize any communication or data
transiting or stored on this system. Therefore, you have no reasonable
expectation of privacy. Any communication or data transiting or stored on this
system may be disclosed or used for any lawful Government purpose.

 






^
TOP