Noridian Medicare Member Service

Initial Business Response / [redacted] (1000, 20, 2015/12/10) */ I just wanted to follow up to my voice mail that I let regarding [redacted] Earlier today I did visit with her and we talked through the situation The main issue stems from her claims being returnedNoridian processes both paper and electronic claims and our electronic claim submissions are over 98%For the remaining claims that are submitted by paper, we use a very current and up to date Optical Character Recognition (OCR) systemThe system captures the information that is submitted on the standard claim form The OCR system also has the capability to capture handwritten information as well, but it is not as clean or concise as a typed claim formsIf it cannot be read by the system and if the verification operator also cannot tell what is being submitted, it will be returned When I did visit with ***, I asked that any future claims or even historical claims that she has that have not been processed be sent directly to me and I can work with our OCR department to make sure the claims go through the front end edits and get into the standard system for processingIf we have questions on the claims as far as what was submitted, we will reach out to her to get clarification Both [redacted] and I agree that electronic submissions are the best way to get claims into the system but she had concerns over system requirementsI did send an email to [redacted] letting her know that I have someone that can walk her through the set up process and that Noridian offers a free claim submission software that is also supported by our office so if she has questions she can contact us directly Initial Consumer Rebuttal / [redacted] (2000, 26, 2016/01/04) */ I have been paid for all outstanding claims and consider the case resolved

Initial Business Response /* (1000, 20, 2015/12/10) */
I just wanted to follow up to my voice mail that I let regarding [redacted]. Earlier today I did visit with her and we talked through the situation.
The main issue stems from her claims being returned. Noridian processes both paper and...

electronic claims and our electronic claim submissions are over 98%. For the remaining claims that are submitted by paper, we use a very current and up to date Optical Character Recognition (OCR) system. The system captures the information that is submitted on the standard claim form.
The OCR system also has the capability to capture handwritten information as well, but it is not as clean or concise as a typed claim forms. If it cannot be read by the system and if the verification operator also cannot tell what is being submitted, it will be returned.
When I did visit with [redacted], I asked that any future claims or even historical claims that she has that have not been processed be sent directly to me and I can work with our OCR department to make sure the claims go through the front end edits and get into the standard system for processing. If we have questions on the claims as far as what was submitted, we will reach out to her to get clarification.
Both [redacted] and I agree that electronic submissions are the best way to get claims into the system but she had concerns over system requirements. I did send an email to [redacted] letting her know that I have someone that can walk her through the set up process and that Noridian offers a free claim submission software that is also supported by our office so if she has questions she can contact us directly.
Initial Consumer Rebuttal /* (2000, 26, 2016/01/04) */
I have been paid for all outstanding claims and consider the case resolved