How to Get Credentialed with Noridian Healthcare Solutions (DME A/D) in Arizona

Quick Overview

Noridian, as DME MAC for jurisdictions A and D is the Medicare Administrative Contractor that processes Part A and B enrollment (the 855 series) for DMEPOS claims in the northeastern and western states. You do not apply to the MAC directly: PECOS auto routes your application to it based on your practice state. DMEPOS supplier ENROLLMENT itself runs through the National Provider Enrollment contractors (NPE East and West), separate from claims jurisdictions, and DMEPOS revalidates every 3 years.

From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.

Arizona-Specific Requirements

Step-by-Step Enrollment Process

Required Documents Checklist

Free Tools for Your Noridian Healthcare Solutions (DME A/D) Enrollment

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Key Credentialing Terms

CAQH

The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...

Credentialing

The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...

Effective Date

The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...

NPI

The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...

Primary Source Verification

The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...

Provider Enrollment

The process by which a healthcare provider applies to participate in an insurance payer's network, allowing the provider...

Re-credentialing

The periodic process, typically occurring every three years, in which a provider's credentials are re-verified to ensure...