Medicare

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

Network: Open
60-120 Days

Quick Overview

Timeline

60 - 120 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

California-Specific Requirements

Noridian DME MAC (Jurisdiction D) processes all Medicare DMEPOS claims for California. California is the largest DMEPOS market in the Noridian DME jurisdiction. Suppliers enroll via PECOS using CMS-855S. A $50,000 surety bond and CMS-approved accreditation are mandatory. CMS has designated several California counties (including Los Angeles, San Bernardino, and Orange County) as high-risk areas for DMEPOS, triggering enhanced screening with fingerprint-based criminal background checks, unannounced site visits, and application fees. A valid NPI is required, and revalidation occurs every 5 years. Initial enrollment takes 60–120 days, potentially longer in high-risk areas.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for California.

2

Prepare Your Application

Complete Noridian Healthcare Solutions (DME A/D)'s provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Noridian Healthcare Solutions (DME A/D).

4

Track & Follow Up

Credentialing typically takes 60-120 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

CV/Resume

DEA License

Conditional

Required if applicable

Malpractice Insurance

Medical License

NPI Certificate

Contact Information

Claims Inquiry

National

1-855-609-9960

Medicare Enrollment

National

Medicare Appeals

National

1-855-609-9960

Quick Links

Noridian Healthcare Solutions (DME A/D) Website Provider Portal

Need Help?

Let PayerReady handle your Noridian Healthcare Solutions (DME A/D) enrollment in California.

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Noridian Healthcare Solutions (DME A/D) in Other States

Alaska Arizona Connecticut District Of Columbia Delaware Hawaii Idaho Massachusetts Maryland Maine

Other Payers in California

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Kaiser Permanente Anthem Blue Cross (California) Blue Shield of California
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