General Mailing Address
Novitas SolutionsAttn: (dept or function name or specific person)
1800 Center Street
Camp Hill, PA 17089
Addresses for Claims and Development Responses
This section contains the addresses for submitting initial claims
and responding to development requests for additional information.
Part A Claims
Novitas Solutions
Attn: Part A Claims
PO Box 890XXX (replace the Xs with the PO Box number from the table below)
Camp Hill, PA 17089-XXXX (fill in the +4 from the table below)
Attn: Part A Claims
PO Box 890XXX (replace the Xs with the PO Box number from the table below)
Camp Hill, PA 17089-XXXX (fill in the +4 from the table below)
Part A Claims
|
PO Box
|
Zip +4
|
Arkansas
|
PO Box 890103
|
17089-0103
|
Colorado
|
PO Box 890113
|
17089-0113
|
Contractor ID 12901 - PA, NJ, MD, DC, DE
|
PO Box 890122
|
17089-0122
|
Delaware
|
PO Box 890417
|
17089-0417
|
Louisiana
|
PO Box 890103
|
17089-0103
|
MD/DC
|
PO Box 890385
|
17089-0385
|
Mississippi
|
PO Box 890103
|
17089-0103
|
New Jersey
|
PO Box 890385
|
17089-0385
|
New Mexico
|
PO Box 890113
|
17089-0113
|
Oklahoma
|
PO Box 890114
|
17089-0114
|
Pennsylvania
|
PO Box 890385
|
17089-0385
|
Texas
|
PO Box 890113
|
17089-0113
|
WPS
|
PO Box 890113
|
17089-0113
|
Part B Claims
Novitas Solutions
Attn: Part B Claims
PO Box 890XXX (replace the Xs with the PO Box number from the table below)
Camp Hill, PA 17089-XXXX (fill in the +4 from the table below)
Attn: Part B Claims
PO Box 890XXX (replace the Xs with the PO Box number from the table below)
Camp Hill, PA 17089-XXXX (fill in the +4 from the table below)
Part B Claims
CMS 1500 Claim Form (08/05) |
PO Box
|
Zip +4
|
Arkansas
|
P.O. Box 890098
|
17089-0098
|
Colorado
|
P.O. Box 890107
|
17089-0107
|
DCMA
|
P.O. Box 890396
|
17089-0396
|
Delaware
|
P.O. Box 890397
|
17089-0397
|
Indian Health Services
|
P.O. Box 890111
|
17089-0111
|
Influenza/Flu Claims/Roster Billings
|
P.O. Box 890112
|
17089-0112
|
Louisiana
|
P.O. Box 890097
|
17089-0097
|
Maryland
|
P.O. Box 890398
|
17089-0398
|
Mississippi
|
P.O. Box 890129
|
17089-0129
|
New Jersey
|
P.O. Box 890030
|
17089-0030
|
New Mexico
|
P.O. Box 890107
|
17089-0107
|
Oklahoma
|
P.O. Box 890107
|
17089-0107
|
Pennsylvania
|
P.O. Box 890418
|
17089-0418
|
Texas
|
P.O. Box 890108
|
17089-0108
|
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