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Submitting a request for home health, hospice or infusion services using an order from the patient physician.
Submitting an authorization/reauthorization request is simple and streamlined in the NorthCoast Portal. This request should include specific details on the service requiring authorization to provide services as ordered by the patient physician.
Benefit verification can be submitted without a referral. Should your benefit verification turn into a referral, verifying benefits only does not put your referral ahead of other referrals and the referral does not move for processing until we have received all the necessary information to submit a referral to the payer for authorization.
An 837 file is an electronic file that contains patient claim information. This file is submitted to an insurance company or to a clearinghouse instead of printing and mailing a paper claim.
An 835 is also known as Electronic Remittance Advice (ERA). It is the electronic transaction that provides claim payment information and documents the EFT (electronic funds transfer). An 835 is sent from insurers/network manager to the healthcare provider.
Claims can be denied payment or processing depending on the patient benefits or the submission of a “clean claim” meeting all insurers requirements. Appeals can be submitted on denied claims and typically have a limit on the timely file.
Patient responsibility is commonly described as the total amount a patient owes out of pocket. If the patient is insured, it may include copayments or coinsurance. NorthCoast will send patients monthly invoices showing the amounts due as assigned by their health plan.
A report including status information about the processing of a claim. This is a communication between a provider and a payer/network manager about a health care claim.
A Message from the CEO
NorthCoast began as a dream in the heart of our founder, the late Lee Passel, back in 1995. When Lee left us in 2020, he placed the company he loved so dearly into the hands of his wonderful wife Merle and their son Grant. In that moment, they asked me to help carry his legacy forward, and I still feel deeply honored (and honestly a little humbled) every day that I get to do this work in his memory. Lee always believed that taking great care of people—both our partners and the patients they serve—was the only way to build something that lasts. That belief is still the heartbeat of everything we do.
I’ve spent much of my career leading home health, hospice, and payer organizations myself, so I truly understand the pressures you face and the difference it makes when someone genuinely has your back. As a registered nurse, I’m especially passionate about freeing clinicians from paperwork and headaches so they can spend their time and energy where it matters most—caring for patients with the compassion and skill they deserve.
I’m incredibly proud to work alongside a leadership team that brings more than 137 years of hard-earned experience to the table. Since 2021, we’ve poured our hearts into making NorthCoast even stronger—building smarter technology, streamlining processes, speeding up payments, simplifying authorizations, and making benefit verification faster and easier. Every improvement we make is driven by one simple question: “How does this help our partners take better care of their patients and grow their mission?”
From the bottom of my heart, thank you for trusting us to walk alongside you. It means the world to all of us at NorthCoast to be your partner, and we’ll never take that trust for granted.
