Medicare

How to Get Credentialed with Novitas Solutions (Jurisdiction H/L) in Colorado

Network: Open
60-90 Days

Quick Overview

Timeline

60 - 90 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Colorado-Specific Requirements

Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for Colorado. Enrollment is via PECOS using CMS-855I (individual) or CMS-855B (group). Colorado has a growing provider population, especially along the Front Range corridor. CMS standard screening protocols apply; providers in high-risk categories may be subject to enhanced screening measures. All providers must hold a valid NPI and revalidate every 5 years. Initial enrollment processing typically 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 Colorado.

2

Prepare Your Application

Complete Novitas Solutions (Jurisdiction H/L)'s provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Novitas Solutions (Jurisdiction H/L).

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

Novitas Solutions (Jurisdiction H/L) Website Provider Portal

Need Help?

Let PayerReady handle your Novitas Solutions (Jurisdiction H/L) enrollment in Colorado.

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Novitas Solutions (Jurisdiction H/L) in Other States

Arkansas District Of Columbia Delaware Louisiana Maryland Mississippi New Jersey New Mexico Oklahoma Pennsylvania

Other Payers in Colorado

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Kaiser Permanente Anthem Blue Cross and Blue Shield of Colorado Health First Colorado
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