Medicare

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

Network: Open
60-90 Days

Quick Overview

Timeline

60 - 90 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Oregon-Specific Requirements

Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for Oregon. Providers must enroll through PECOS using CMS-855I (individual) or CMS-855B (group). Oregon has a mix of urban and rural providers; CMS applies standard screening for limited-risk categories and enhanced screening (including possible site visits) for moderate- and high-risk categories. A valid NPI is required. Revalidation is every 5 years, and initial enrollment processing takes approximately 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 Oregon.

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 Oregon.

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Noridian Healthcare Solutions (Jurisdiction E) in Other States

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

Other Payers in Oregon

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Kaiser Permanente Regence BlueCross BlueShield of Oregon Oregon Health Plan
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