Durable medical equipment update effective October 14, 2018
Effective October 14, 2018, we will enforce the requirement to bill the correct modifier and HCPCS for services utilized. Incorrect billing will be rejected and claims will be returned to the provider for correction and resubmittal.
Durable medical equipment (DME) may be purchased, rented or rented until the purchase price has been paid.
Correct billing will allow member benefits to be applied correctly to include benefit accumulations for a member’s DME benefits.
October 2018 Anthem Maine Provider Newsletter