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How do I setup for the Ordering Provider to submit on DME claims?

How to set up Ordering Provider on DME Claims

For DME claims, the Ordering Physician is required to be on the claim. The following must be setup for this to go correctly.  

  • Visit must have a Referring Physician listed (Visit Form) 
  • DME plan must be attached to the DME Insurance Category   

  • DME Insurance Category must have the Source of Pay = E-DMERC

  • Once the claim is processed, the electronic file will pull the Referring Physician and list as the Ordering Physician and indicate the DK qualifier in the electronic file as required for DME claim submissions.