Medicare Claims & Appeals in California

California Medicare Claims

Medicare claims in California are processed by Medicare Administrative Contractors (MACs). The MAC for California is Noridian Healthcare Solutions.

Claims Mailing Address

For California Medicare Part B claims:

Noridian Healthcare Solutions
P.O. Box 6710
Fargo, ND 58108-6710

Medicare Payer ID

The Medicare Payer ID for electronic claims submission in California:

• Part A: Medicare Payer ID varies by MAC region
• Part B: 01112

Filing a Medicare Appeal

If you disagree with a Medicare coverage or payment decision, you have the right to appeal. There are five levels of appeal:

1. Redetermination by the MAC (within 120 days of receiving the MSN)
2. Reconsideration by a Qualified Independent Contractor (QIC)
3. Hearing by an Administrative Law Judge (ALJ)
4. Review by the Medicare Appeals Council
5. Federal court review

Provider Portal Access

California Medicare providers can access claims information through the Noridian Medicare Portal at med.noridianmedicare.com.

Fee Schedule

The Medicare Physician Fee Schedule for California is available at cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched.