Medicare

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

Network: Open
60-90 Days

Quick Overview

Timeline

60 - 90 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

New Jersey-Specific Requirements

Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for New Jersey. Enrollment is via PECOS using CMS-855I (individual) or CMS-855B (group). New Jersey has a dense provider population, particularly in the northern part of the state near New York City. CMS standard screening applies, though certain areas have been identified for enhanced fraud monitoring. Providers practicing in both NJ and NY should be aware that different MACs process claims for each state. A valid NPI is required, 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 New Jersey.

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 New Jersey.

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Novitas Solutions (Jurisdiction H/L) in Other States

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

Other Payers in New Jersey

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Horizon Blue Cross Blue Shield of New Jersey NJ FamilyCare UnitedHealthcare Community Plan
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