General Inquiry Request Form For Physicians/Providers (Medicare Part B)

IMPORTANT: All general written inquiries, including letters, faxes and e-mails, are handled consistently and subject to the 45 business day requirement. Novitas Solutions responds to inquiries in the order received.

If your question pertains to a general Medicare or billing issue, you may also consult the Medicare Reference Manual or, for a more immediate response, call us.

Questions for Novitas Solutions? This form may be used by health professionals to submit a general and/or clinical question to Medicare. A general question may be related to coverage guidelines, policy issues or how to bill Medicare. A clinical question may be related to a medical policy, a medical review issue or coverage and coding questions.

Please note: This is not a secured page, so we prefer you do not include Protected Health Information (e.g. Health Insurance Claim (HIC) numbers, Social Security numbers, etc.). In the event Protected Health Information is included in the inquiry, this information will be removed from our email response or we may find it necessary to respond via telephone or in writing (versus email).

To obtain a response, your name and telephone number are required.

NOTE: This form is for Medicare Part B related questions only!

State or Jurisdiction that corresponds to your Contractor/DDE ID:

Please note: electronic mail is not necessarily secure against interception. If your communication is very sensitive, or includes personal information, you may want to send it by postal mail instead.