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2017 Frequently Asked Questions0417.PR. P.PP 5 /17AGENDA Provider Enrollment Prior Authorizations DME (Durable Medical Equipment) Seeking Answers to QuestionsProvider Enrollment How to become a participating
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Durable Medical Equipment (DME) is equipment that is used for medical purposes, can withstand repeated use, and is appropriate for use in the home.
Healthcare providers, suppliers, and manufacturers of DME are required to file DME claims for reimbursement.
DME claims can be filled out electronically through a billing system or manually on paper forms, following the specific guidelines set by the payer.
The purpose of DME is to assist patients with medical conditions in their daily living activities and improve their quality of life.
Information such as patient's name, diagnosis, description of the DME, provider information, and details of the claim must be reported on DME claims.
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