Novitas Address for mailing paper claims

According to Novitas  “Effective 04/15/2014, paper claims that were submitted to the old Novitas Solutions mailing addresses are no longer being forwarded by the postal service. The 1500 claim forms are being mailed back to the provider and will need to be resubmitted to the correct mailing address”

Herewith we have enclosed the Novitas mailing address

Jurisdiction H (JH) includes Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, Texas, Indian Health and Tribal facilities as well as Veterans Affairs.

General Mailing Address

Novitas Solutions
Attn: (dept or function name or specific person)
2020 Technology Parkway, Suite 100
Mechanicsburg, PA 17050

Addresses for Claims and Development Responses

This section contains the addresses for submitting initial claims and responding to development requests for additional information.

Part B Claims

Novitas Solutions
Attn: Part B Claims
PO Box XXXX (replace the Xs with the PO Box number from the table below)
Mechanicsburg, PA 17055-XXXX (fill in the +4 from the table below)

Mechanicsburg, PA 17055-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 3098	17055-1816
Colorado	P.O. Box 3107	17055-1823
Indian Health Services	P.O. Box 3111	17055-1857
Influenza/Flu Claims/Roster Billings	P.O. Box 3112	17055-1827
Louisiana	P.O. Box 3097	17055-1815
Mississippi	P.O. Box 3129	17055-1834
New Mexico	P.O. Box 3107	17055-1823
Oklahoma	P.O. Box 3107	17055-1823
Texas	P.O. Box 3108	17055-1824

Part B Development Letter Responses

Novitas Solutions
JH Part B ADR/Medical Records
PO Box 3094
Mechanicsburg, PA 17055-1812

General Written Inquiries and Appeals

This section contains the addresses for submitting redeterminations, clerical error reopenings, and general written inquiry requests. For more information on appeals, refer to Novitas Solutions Appeals Center.

Part B Providers	PO Box	Zip +4
Louisiana	PO Box 3100	17055-1817
Arkansas	PO Box 3101	17055-1818
Mississippi	PO Box 3130	17055-1835
Colorado/New Mexico/Oklahoma	PO Box 3109	17055-1825
Texas	PO Box 3110	17055-1826

Mailing Address for Veteran Affairs

Please use the following post office box, when submitting all mail, including appeals and correspondence to Novitas Solutions, Inc.
Novitas Solutions, Inc.
PO Box 3116
Mechanicsburg, PA 17055-1830
If Medicare documents are sent via Priority mail or through a commercial courier for which a PO Box cannot be used, please use the following street address:

Novitas Solutions, Inc.
Attention: (Department/Function Name or Specific Person)
2020 Technology Parkway
Mechanicsburg, PA 17050
Mailing Addresses for Indian Health Services/Tribal/Urban Indian Providers

Please use the following post office boxes, as indicated in the chart below, when submitting documents to Novitas Solutions, Inc.

Novitas Solutions, Inc.
PO Box XXXX
Mechanicsburg, PA 17055-XXXX

Type of Correspondence/Document being sent to Novitas	PO Box	Zip Code + 4
Paper Claims, Appeals, and General Correspondence	PO Box 3111	17055-1857
Electronic Billing (EDI)	PO Box 3093	17055-1811
Provider Enrollment/EFT	PO Box 3115	17055-1858
Part B Voluntary Checks Returns and Payments	PO Box 3106	17055-1822

If Medicare documents are sent via Priority mail or through a commercial courier for which a PO Box cannot be used, please use the following street address:

Novitas Solutions, Inc.
Attention: (Department/Function Name or Specific Person)
2020 Technology Parkway
Mechanicsburg, PA 17050

Electronic Billing (EDI) - Completed EDI Enrollment Forms

To enroll for electronic billing, please visit our Electronic Billing (EDI) Center and download the most recent version of EDI Enrollment forms. Please mail your completed EDI Enrollment forms to:
Novitas Solutions
ATTN: JH EDI
PO Box 3093
Mechanicsburg, PA 17055-1811
Provider Enrollment - Completed Provider Enrollment Forms

Paper enrollment forms/supporting documentation, hardcopy certification statements/supporting documentation for Internet-based PECOS submitted applications and other enrollment forms (e.g., CMS-460, CMS-588) must be sent through the U.S. mail. Please see below for the appropriate address.

Please direct responses to requests for information (development) to the specific Credentialing Specialist listed in the development letter.

General Provider Enrollment and Phase 2 Revalidation Applications (requests dated on or before September 20, 2013):

Novitas Solutions
Provider Enrollment Services
P.O. Box XXXX
Mechanicsburg, PA 17055-XXXX

Type of Provider	PO Box	Zip Code +4
All Providers (except Indian Health Services/Tribal/Urban Providers)	3095	1813
Indian Health Services/Tribal/Urban Providers	3115	1858

Phase 3 Revalidation Applications (requests dated after September 20, 2013):

Novitas JH Provider Enrollment
P.O. Box 44137
Jacksonville, FL 32231

Note that although Internet-based PECOS instructs providers to send hardcopy certification statements/supporting documentation to a specific Novitas address, please mail all Phase 3 revalidation documents to the address immediately above.

Gifts - Offers and Receipt of Gifts

Novitas is a government contractor and is therefore prohibited from accepting gifts of any kind from providers, vendors or third parties doing business, or seeking to do business, with us. Therefore, any gifts received by a Novitas employee/s will be returned. Thank you for your understanding.

Medical Director

Novitas Solutions - Office of the Medical Director
Attn: Debra Patterson M.D.
2020 Technology Parkway
Mechanicsburg, PA 17050

Freedom of Information (FOIA)

Send your request to the following addresses.

Novitas Solutions
All JH FOIA
Freedom of Information
PO Box 3700
Mechanicsburg, PA 17055-1856