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Reminder: Durable Medical Equipment (DME) Claims

December 21, 2012

Reminder: Durable Medical Equipment (DME) Claims

Please remember, you must file all Durable Medical Equipment (DME) claims with the referring provider NPI number. If you don't include this information, it will delay the accurate processing of your claim.

Where to File Your Claims

 Provider Type
 How to File
(required fields)
 Where to File
 Examples
Durable/Home Medical Equipment and Supplies (D/HME)

 

Types of service include, but are not limited to:

  • Hospital beds
  • Oxygen tanks
  • Crutches
 Patient’s Address:
  • Field 5 on CMS 1500 Health Insurance Claim Form or
  • Loop 2010CA on the 837 Professional Electronic Submission.
Ordering Provider:
  • Field 17 on CMS 1500 Health Insurance Claim Form or
  • Loop 2420E (line level) on the 837 Professional Electronic Submission.
Place of Service:
  • Field 24B on the CMS 1500 Health Insurance Claim Form or
  • Loop 2300, CLM05-1 on the 837 Professional Electronic Submissions.
Service Facility Location Information:
  • Field 32 on CMS 1500 Health Insurance Form or
  • Loop 2310C (claim level) on the 837 Professional Electronic Submission.
 File the claim to the Plan in whose state the equipment was shipped to or purchased in a retail store.
  • Wheelchair is purchased at a retail store in South Carolina.

    File to: BlueCross BlueShield of South Carolina.

    HIPAA Place of Service: 99
  • Wheelchair is purchased on the Internet from an online retail supplier in Ohio and shipped to the patient’s home in South Carolina.

    File to: BlueCross BlueShield of South Carolina.

    HIPAA Place of Service: 12

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