Review the following information prior to sending a fax to Noridian SMRC at 701-277-6834.

1. Direct fax to Noridian SMRC
2. Submit a fax cover sheet which includes:
   • Total number of pages
   • Noridian SMRC
   • Provider/Supplier name
   • Provider/Supplier contact information
3. Submit a single fax transmission with all documents to support a single claim/request
   • There is not a system in place to consolidate multiple fax receipts to a single claim, inquiry, appeal etc.
4. Submit a separate fax for each claim, inquiry, or response with all supporting documentation attached for that specific claim
5. Review clarity of documents being faxed to ensure contents will not be distorted when faxed
   • Highlights, shading, previously faxed pages where legibility may be further diminished if re-faxed

Last Updated Mar 25, 2024