Durable Medical Equipment (DME)

Durable Medical Equipment Provider Reference Manual   

Covered or Non-Covered DME Items

The examples provided are not an all-inclusive list and are offered as a guide only.  Refer to program requirements, coverage criteria, and the fee schedule for specific service information.

Claim Preparation Instructions

Error Status Codes

Explanation of Benefits (EOB) Codes

Appendix - Third Party Liability Carrier and Coverage Codes

For specific questions you may contact the DXC Technology Customer Service Help Desk at (401) 784-8100 for In-state and long distance callers, or 1-800-964-6211 for In-state toll callers and border communities.

     

     

     

     

     

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