Reopenings and Redeterminations: Save time with Novitasphere – B
Novitas, the Medicare Administrative Contractor (MAC) for Jurisdictions H and Jurisdiction L, highly encourages providers to perform claim corrections and submit redeterminations on their claims through Novitasphere, our free internet portal. These features are fast, and easy to use – saving providers valuable time.
One of the most utilized features within Novitasphere is the Claim Correction feature. Part B customers can use this to submit their clerical error reopenings to Novitas. It’s as simple as 1-2-3: login to Novitasphere, correct the claim, and submit! See how easy it is with our short educational video:
Providers interested in learning more about the claim correction process are encouraged to join us for one of our monthly Novitasphere Claim Correction Webinars. Please visit the Educational Events page of our website for dates and to register for an upcoming event.
One of our newest enhancements to Novitasphere is the Appeal Requests feature. The Appeal Requests feature is used to submit a Redetermination request for finalized claims. Once logged in to Novitasphere, users can quickly search for and locate the claim, complete the Appeal Request, upload documentation, and submit!
Additionally, users are now able to view Appeal Development Letters and respond to requests for documentation needed to process pending Redeterminations. Additionally, users will be able to obtain the outcome of appeal decisions by accessing copies of their Medicare Redetermination Notices.
Finally, as a reminder, the MBI Lookup tool is now available in Novitasphere, our free, secure internet portal! This is your go-to resource to obtain the patient’s MBI number when they are unable to provide their new card.
To find enrollment instructions, or view a copy of the User Manual, visit the Novitasphere Portal Center today! For questions, please contact the Novitasphere Help Desk at 1-855-880-8424.
Brynn E. Plumley, BS, M.Ed
Manager, EDI Services
Novitas Solutions, Inc.
Telephone: 717-526-6707
Email: brynn.plumley@novitas-solutions.com
Janice Mumma, CPC, COC
Supervisor Provider Outreach and Education
Novitas Solutions, Inc.
Telephone: 717-526-6406