CMS Awards Noridian Medicare DME Contract

Core Insights - Noridian Healthcare Solutions has been re-awarded the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DME) Medicare Jurisdiction A (JA) contract valued at $142 million by the Centers for Medicare & Medicaid Services (CMS) [1][3] Company Overview - Noridian has been serving the suppliers and beneficiaries of JA since 2015, demonstrating exceptional performance and commitment to reducing administrative barriers in healthcare access [3] - The company processes claims for Medicare beneficiaries in the District of Columbia and 11 states, including Connecticut, Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont [2] Operational Performance - Noridian's DME team has achieved a 99% timely processing rate for Medicare claims, ensuring that healthcare suppliers and patients do not experience delays in funding [5] - The contract includes a base year and the option for six one-year extensions, with support staff located in Fargo and across the states within the JA jurisdiction [5] Service Scope - Noridian's responsibilities include claims processing, payment services, education and outreach, appeals, and addressing complex inquiries from beneficiaries and Congressional Offices [4] - The company manages over 20,000 DME suppliers and processes more than 11 million claims annually for Medicare beneficiaries in the JA region [4] Company Background - Noridian Healthcare Solutions develops solutions for federal, state, and commercial healthcare programs, offering a range of services including claims processing and medical review [6] - The company is headquartered in Fargo, ND, and operates nationwide, focusing on customizable, high-quality solutions to improve healthcare access [6]