Medicare

How to Get Credentialed with Noridian Healthcare Solutions (Jurisdiction E) in California

Network: Open
60-90 Days

Quick Overview

Timeline

60 - 90 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

California-Specific Requirements

Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for California. California is one of the highest-volume Medicare states, and Noridian manages a large provider population. Enroll via PECOS using CMS-855I (individual), CMS-855B (group), or CMS-855O (ordering/referring only). Due to its size, California has been subject to enhanced fraud prevention measures in certain counties (e.g., Los Angeles, San Bernardino); providers in designated high-risk geographic areas may face additional screening. A valid NPI is mandatory, and revalidation occurs every 5 years. Initial enrollment takes 60–90 days.

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 (Jurisdiction E)'s provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Noridian Healthcare Solutions (Jurisdiction E).

4

Track & Follow Up

Credentialing typically takes 60-90 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 (Jurisdiction E) Website Provider Portal

Need Help?

Let PayerReady handle your Noridian Healthcare Solutions (Jurisdiction E) enrollment in California.

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Noridian Healthcare Solutions (Jurisdiction E) in Other States

Alaska Arizona Hawaii Idaho Montana North Dakota Nevada Oregon South Dakota Utah

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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