Review the following information prior to sending a fax to Noridian SMRC at 701-277-6834.
- Direct fax to Noridian SMRC
- Submit a fax cover sheet which includes:
- Total number of pages
- Noridian SMRC
- Provider/Supplier name
- Provider/Supplier contact information
- 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.
- Submit a separate fax for each claim, inquiry, or response with all supporting documentation attached for that specific claim
- 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 Nov 5, 2018