Determining Medicare and DME Payers

Overview

When mapping your Medicare and/or DME payer, it is important to select the DME or Medicare payer specific to your practice's location. Selecting the correct payer will ensure that your claims are scrubbed according to the requirements of the associated Medicare Administrative Contractor. 

The table below will help you determine which payer to select based on your practice's geographical location. 

State/Territory

Medicare Contractor

DME Contractor 

AlabamaMedicare (Palmetto GBA)DME (CGS Administrators)
AlaskaMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
American SamoaMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
ArizonaMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
ArkansasMedicare (Novitas Solutions)DME (CGS Administrators)
CaliforniaMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
ColoradoMedicare (Novitas Solutions)DME (CGS Administrators)
ConnecticutMedicare (National Government Services)DME (Noridian Healthcare Solutions)
DelawareMedicare (Novitas Solutions)DME (Noridian Healthcare Solutions)
District of ColumbiaMedicare (Novitas Solutions)DME (Noridian Healthcare Solutions)
FloridaMedicare (First Coast Service Options)DME (CGS Administrators)
GeorgiaMedicare (Palmetto GBA)DME (CGS Administrators)
Guam Medicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
HawaiiMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
IdahoMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
IllinoisMedicare (National Government Services)DME (CGS Administrators)
IndianaMedicare (Wisconsin Physicians Service Government Health Administrators)DME (CGS Administrators)
IowaMedicare (Wisconsin Physicians Service Government Health Administrators)DME (Noridian Healthcare Solutions)
KansasMedicare (Wisconsin Physicians Service Government Health Administrators)DME (Noridian Healthcare Solutions)
KentuckyMedicare (CGS Administrators)DME (CGS Administrators)
LouisianaMedicare (Novitas Solutions)DME (CGS Administrators)
MaineMedicare (National Government Services)DME (Noridian Healthcare Solutions)
MarylandMedicare (Novitas Solutions)DME (Noridian Healthcare Solutions)
MassachusettsMedicare (National Government Services)DME (Noridian Healthcare Solutions)
MichiganMedicare (Wisconsin Physicians Service Government Health Administrators)DME (CGS Administrators)
MinnesotaMedicare (National Government Services)DME (CGS Administrators)
MississippiMedicare (Novitas Solutions)DME (CGS Administrators)
MissouriMedicare (Wisconsin Physicians Service Government Health Administrators)DME (Noridian Healthcare Solutions)
MontanaMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
NebraskaMedicare (Wisconsin Physicians Service Government Health Administrators)DME (Noridian Healthcare Solutions)
NevadaMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
New HampshireMedicare (National Government Services)DME (Noridian Healthcare Solutions)
New JerseyMedicare (Novitas Solutions)DME (Noridian Healthcare Solutions)
New MexicoMedicare (Novitas Solutions)DME (CGS Administrators)
New YorkMedicare (National Government Services)DME (Noridian Healthcare Solutions)
North CarolinaMedicare (Palmetto GBA)DME (CGS Administrators)
North DakotaMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
Northern Mariana IslandsMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
OhioMedicare (CGS Administrators)DME (CGS Administrators)
OklahomaMedicare (Novitas Solutions)DME (CGS Administrators)
OregonMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
PennsylvaniaMedicare (Novitas Solutions)DME (Noridian Healthcare Solutions)
Puerto RicoMedicare (First Coast Service Options)DME (CGS Administrators)
Rhode IslandMedicare (National Government Services)DME (Noridian Healthcare Solutions)
South CarolinaMedicare (Palmetto GBA)DME (CGS Administrators)
South DakotaMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
TennesseeMedicare (Palmetto GBA)DME (CGS Administrators)
TexasMedicare (Novitas Solutions)DME (CGS Administrators)
U.S. Virgin IslandsMedicare (First Coast Service Options)DME (CGS Administrators)
UtahMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
VermontMedicare (National Government Services)DME (Noridian Healthcare Solutions)
VirginiaMedicare (Palmetto GBA)DME (CGS Administrators)
WashingtonMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
West VirginiaMedicare (Palmetto GBA)DME (CGS Administrators)
WisconsinMedicare (National Government Services)DME (CGS Administrators)
WyomingMedicare (Noridian Healthcare Solutions)DME (Noridian Healthcare Solutions)
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