medicare novitas provider phone number: Your 2025 Guide
In this guide, US medical billing professionals will find every up-to-date 2025 question and answer about the medicare novitas provider phone number. You’ll learn Jurisdiction H vs. L lines, IVR menus, direct extensions for appeals, enrollment, EDI support, hours of operation, hold-time tips, and fax vs. call best practices. Each section cites official Novitas Solutions and CMS pages and links to related billing guides on our site.
Introduction
Novitas Solutions is the A/B Medicare Administrative Contractor (MAC) for Jurisdictions H and L, covering 27 states. Every day, billers call their provider phone center for claim status, enrollment, appeals, and EDI help. Yet confusion remains about which toll-free number to dial, when lines are open, and how to navigate the IVR. This article consolidates all current 2025 inquiries and answers, so you waste no time on hold.
1. Jurisdiction H vs. L Phone Numbers
1.1 Jurisdiction H (JH) Toll-Free
For all Part A and B inquiries in Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas, call 1-855-252-8782. (Novitas Solutions – Telephone Inquiry Quick Reference)
This number routes you to the Novitas IVR. After selecting Part B and your state, you can press “0” for a live agent.
The line is open Monday–Friday, 8 am–4 pm CT/MT.
1.2 Jurisdiction L (JL) Toll-Free
Providers in Delaware, DC, Maryland, New Jersey, and Pennsylvania must dial 1-877-235-8073. (Novitas Solutions – Phone numbers (JL))
After IVR prompts, press “2” for Part B general inquiries. Then enter your PTAN/NPI and TIN for authentication.
These hours mirror JH: weekdays, 8 am–4 pm ET.
2. What Billers Are Asking in 2025
2.1 “Why Am I Routed to 1-800-MEDICARE?”
Many callers end up at 1-800-633-4227 (1-800-MEDICARE) by mistake. (Novitas Solutions – Phone numbers (JL))
That line handles beneficiary questions, not provider claims. Always use the Novitas MAC numbers above.
2.2 “Is There a Direct Fax Number Instead?”
For written claims corrections (reopenings), fax 1-877-439-5479. (Novitas Solutions – Fax and Mailing Address Information)
However, general provider inquiries must go through the IVR or portal.
2.3 “How Do I Reach Appeals?”
Level-1 redetermination requests are paper or via Novitasphere; there’s no direct appeals phone rep. (Novitas Solutions – Appeals Status Inquiry Tool)
Instead, use the online Appeals Status Inquiry Tool to track your CCN.
3. Navigating the IVR for Faster Service
The Novitas IVR menu has three levels: business line, Part A/B selection, state/PTAN entry.
To bypass menus, once connected dial 0 immediately. Agents often pick up faster.
Have your NPI, PTAN, and last five of TIN ready for CTI authentication.
4. Enrollment Services & Novitasphere Support
4.1 Provider Enrollment Help Line
For provider enrollment or roster changes, call 1-855-252-8782, Mon–Fri, 8 am–4 pm CT/MT. (Telephone Inquiry Quick Reference)
4.2 Novitasphere Portal & EDI Help
For portal access or technical issues, dial 1-855-880-8424. (Novitasphere FAQs)
Alternatively, email support at NovitasphereSupport@novitas-solutions.com.
5. Best Practices When Calling
- Call early in the morning to avoid peak hold times.
- Keep all patient, provider, and claim details at hand.
- Note the agent’s name and confirmation number for follow-up.
- Use the online CMS EDI Companion Guides for self-service when possible.
6. Related Resources on CMS1500ClaimBilling.com
Conclusion
By using the correct medicare novitas provider phone number and IVR tips above, you can resolve claims, appeals, and enrollment issues faster in 2025. Remember that JH (1-855-252-8782) and JL (1-877-235-8073) are your primary lines. For EDI, enrollment, and portal help, use dedicated extensions. Finally, leverage online tools whenever possible to minimize hold times and improve your billing efficiency.