Specifications

93
DMEPOS Supplier Enrollment
 AnyDMEPOSSupplierthatwillbesubmittingclaimstoMedicareonthebehalfofpatientsmustobtainaSupplierNumberbyenrollingthrough
 theNSC-TheNationalSupplierClearinghouse.TheSupplierNumbermayalsobecalledaSupplierAuthorizationNumberoraMedicareSupplier
 Number.
 TheNSC-NationalSupplierClearinghouse-assignsthesuppliernumbersthroughanapplicationprocess.
 AHCFA855SapplicationmustbecompletedandsubmittedtoNSC.Formoreinformationonbecomingaprovider/supplier,obtainingaHCFA
 855Sapplication,orlearningmoreabouttheSupplierStandards,contacttheNSCat1-866-238-9652.
 NationalSupplierClearinghouse(NSC)
 P.O.Box100142
 Columbia,SC29202-3142
 TollFree:(866)238-9652
 www.palmettogba.com(select“otherMedicarepartners”)
 Approvedproviders/suppliersofDMEPOSarenotiedbyletteroftheirNationalSupplierIdenticationNumberassignment,a10digitnumberthat
 mustbeusedonallclaimsledtotheDMERC.NSCwillalsoreleasenewsuppliernumberstotheappropriateDMERCssoclaimscanbeprocessed
 withoutdelay.Pleasenote:TheAdministrativeSimplicationprovisionsoftheHealthInsurancePortabilityandAccountabilityActof1996(HIPAA)
 mandatedtheadoptionofstandarduniqueidentiersforhealthcareproviders,aswellastheadoptionofstandarduniqueidentiersforhealth
 plans.Thepurposeoftheseprovisionsistoimprovetheeciencyandeectivenessoftheelectronictransmissionofhealthinformation.The
 CentersforMedicareandMedicaidServices(CMS)hasdevelopedtheNationalPlanandProviderEnumerationSystem(NPPES)toassignthese
 uniqueidentiers.
Filling Claims
 DMEPOSSuppliers,bothparticipatingandnon-participating,mustsubmitclaimsforMedicarePartB/DMEPOSequipmentelectronically.Suppliers
 cannotchargepatientsafeeforcompleting/llingouttheseforms.
 GEMCOMedicalhasincludedmedicalbillinginformationinthiscatalog,asaservicetoourcustomers.Themedicalbillinginformationisnota
 guaranteeofpaymentorcoverage.Wecannotguaranteetheaccuracyoftheinformationprintedhereinandarenotresponsibleforclaimsor
 liabilitiesthatmayresultfromtheuseofthisinformation.Themedicalbillinginformationandcoveragepoliciesarefrequentlyrevised.Please
 reviewpoliciesbeforesubmittingclaims.Noindependentvericationofthedataisclaimedorimplied.
 FeeSchedulescanbeobtainedthroughtheHCFAwebsitewww.hcfa.com.
www.gemcomedical.com  Phone:800-733-7976  Fax:330-342-9444