Noridian Books CMS Medicare Administration Support Contract

The Centers for Medicare and Medicaid Services has awarded Noridian Healthcare Solutions a $556.4 million contract to provide specified health insurance benefit administration support services for Jurisdiction F.

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Responsibilities of Part A/Part B Medicare Administrative Contractor

According to an award notice published Tuesday, Noridian will serve as a Part A/Part B Medicare Administrative Contractor to provide Medicare claims processing and payment services in support of the Medicare fee-for-service program for Jurisdiction F.

Jurisdiction F covers several states: Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming.

According to the draft statement of work, the contract’s functional requirements include workload implementation, contractor responsibilities during the closeout period and at contract end, infrastructure requirements, provider enrollment, appeals of Medicare initial claims determinations, medical review, and provider oversight.

In 2020, CMS awarded Noridian and 13 other vendors spots on a potential $2 billion contract to provide enrollment and screening support to help the agency detect and prevent fraud, abuse and waste in Medicare and Medicaid programs.

What Does Noridian Do?

Since 1966, Noridian has provided claims processing, medical review, provider management and other healthcare administration services for federal, state and health plan programs.

The Fargo, North Dakota-based company has more than 2,000 employees that help deliver people-focused services across all 50 states and several U.S. territories.

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