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LAST UPDATED: 07 Nov, 2022
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Email: SMRCMail@ Noridian .com. Supplemental Medical Review Contractor (SMRC)- Noridian Healthcare Solutions, LLC (NHS) Supplier Enrollment National Supplier Clearing House (NSC) Phone: 866.238.9652. Email National Supplier Clearinghouse. Mailing Address: National Supplier Clearinghouse Palmetto GBA, AG-495 PO Box 100142 Columbia, SC 29202-3142
https://cgsmedicare.com/jc/contact/index.htmlThe HIPAA (Health Insurance Portability and Accountability Act) Eligibility Transaction System (HETS) allows you to check Medicare beneficiary eligibility data in real-time. Use HETS to prepare accurate Medicare claims, determine beneficiary liability, or check eligibility for specific services.
https://www.cms.gov/Research-Statistics-Data-and-Systems/CMS-Information-Technology/HETSHelpMedicare Beneficiary Identifier (MBI) Converter In anticipation of the New Medicare Card initiative, CGS introduced the Medicare Beneficiary Identifier (MBI) Converter tool a short time ago. This tool is to be used in conjunction with the Interactive Voice Response (IVR) system.
Providers can use the Noridian Medicare Portal (NMP) as a Look-up Tool for MBI s. To receive the MBI from NMP, the beneficiary must give a provider his/her HICN plus verify their first name, last name, and date of birth. Beneficiaries can also log into http://www.mymedicare.gov to obtain their MBI.
Simply enter the MBI and the tool will convert the numbers for you. Enter the number combination as displayed. As a reminder, the conversion tool does not validate the beneficiary's Medicare number or eligibility. It only gives you the information needed to access the IVR based on the information that was entered.
Use myCGS to look up any Medicare beneficiary's MBI, regardless of where they live. To find MBIs in the portal, your Medicare beneficiaries must provide their first and last name, date of birth an SSN. The Interactive Voice Response (IVR) system requires you enter your patient's name and Medicare number during the beneficiary validation process.
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