Claims Submissions
Effective November 30, 2009 there will be a Change in Address Process for Paper Claim Submission 
Use this address for all paper claims:
DME Jurisdiction A Claims
P.O. Box 9165
Hingham, MA 02043-9165 |
Use this address for ADS responses:
DME - ADS
P.O. Box 9170
Hingham, MA 02043-9170 |
Advanced Determination of Medicare Coverage Requests (ADMC)
As a result of the medical review (MR) not for benefit integrity (BI) transition from the PSCs to the DME MACs, a process change has occurred for the submission of ADMC requests. All ADMC requests for Jurisdiction A are now to be submitted to NHIC, Corp.
Via Mail:
NHIC, Corp.
ATTN: ADMC
P.O. Box 9170
Hingham, MA 02043-9170 |
Via Fax:
781-741-3991 |
The ADMC Request Cover Sheet is available on the CMNs and Forms page.
More information on ADMC Requests can be found in Chapter 10 (Durable Medical Equipment) of the DME MAC A Supplier Manual.
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Medical Review (MR) Requests for Additional Documentation (ADR) Responses
Mailing Address:
DME - MR ADS
PO Box 9170
Hingham, MA 02043-9170
Via Fax:
781-741-3833 |
Physical Address for Overnight Mailings:
NHIC - DME MR ADS
75 William Terry Dr
Hingham, MA 02044 |
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05/28/2010
