Noridian Healthcare Solutions Reclaims DME Contract in 2025
Noridian Healthcare Solutions Secures DME Contract
FARGO, N.D. — Noridian Healthcare Solutions, a notable player in health care program solutions, has proudly announced its re-award of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DME) Medicare Jurisdiction A (JA) contract. This re-award comes after a competitive procurement process managed by the Centers for Medicare & Medicaid Services (CMS), valued at an impressive $142 million.
What is the Role of Noridian in Medicare?
Noridian functions as the Medicare Administrative Contractor for Jurisdiction A, which encompasses claims processing for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies for Medicare beneficiaries across the District of Columbia and eleven states. These states include Connecticut, Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont.
A Commitment to Quality and Service
Noridian's President and CEO, Jon Bogenreif, expressed that the organization has been committed to serving the suppliers and beneficiaries of JA since 2015. He highlighted that this re-award is a testament to Noridian's exceptional performance. The contract reflects the company’s ongoing dedication to removing obstacles and enhancing access to health care services.
Supporting Healthcare Across the States
With coverage across these eleven states, Noridian continues to facilitate CMS Medicare fee-for-service health services in Jurisdiction A. Their role extends to claims processing and payment services geared towards supplier billing, ensuring seamless interactions between suppliers and beneficiaries.
Educational Outreach and Beneficiary Support
Beyond claims processing, Noridian remains committed to educating and supporting Medicare beneficiaries and suppliers. Their efforts include outreach programs aimed at clarifying appeals processes, assisting with inquiries from beneficiaries, Congressional Offices, and CMS. This level of support is crucial for fostering trust and effectiveness within the Medicare system.
Impressive Claims Processing Efficiency
With over 20,000 DME suppliers in its network, Noridian tackles a substantial volume of claims, processing more than 11 million claims annually for Medicare beneficiaries. Julie Dallmann, the project manager for JA, noted that the Noridian DME team prides itself on consistently processing Medicare claims with an impressive 99% timeliness rate. This efficiency ensures that healthcare suppliers and their patients do not face delays in fund distribution, providing peace of mind to all parties involved.
Contract Details and Future Prospects
The newly awarded contract comprises a base year along with the option for six additional one-year periods. Noridian's dedicated employees supporting the JA contract are strategically located not only in Fargo but also across the United States, enabling them to deliver comprehensive services effectively.
About Noridian Healthcare Solutions
Founded with a mission to optimize health care access, Noridian Healthcare Solutions specializes in developing health care program solutions for federal, state, and commercial sectors. Their comprehensive services encompass claims processing, medical reviews, provider administrative services, and contact center operations. Headquartered in Fargo, ND, Noridian administers people-first services nationwide, leveraging years of experience to design customizable health care solutions that address systemic barriers to care.
Contact Information
For media inquiries or further information, please contact Cailin Shovkoplyas, Communications Manager at Noridian. She can be reached at 701-282-1503 or via email at Cailin.Shovkoplyas@noridian.com.
Frequently Asked Questions
What is the DME Medicare Jurisdiction A contract?
This contract allows Noridian to process claims and administer services for Durable Medical Equipment for Medicare beneficiaries across multiple states.
How long is the contract duration?
The contract spans a base year with options for six additional one-year extensions.
How does Noridian support Medicare beneficiaries?
Noridian provides educational outreach, claims processing, and support for inquiries from beneficiaries and suppliers.
How many claims does Noridian process annually?
Noridian processes over 11 million claims each year for Medicare beneficiaries in Jurisdiction A.
What is the importance of the 99% claims processing efficiency?
The efficiency means prompt payment to suppliers and patients, facilitating smoother interactions in the healthcare system and ensuring timely access to needed services.
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