Capped DME reimbursement issues

June 26, 2019

We are aware of an issue with Durable Medical Equipment (DME) capped rental items being reimbursed incorrectly based on the monthly cap allowance. Once the system correction is complete, all capped DME rental claims will be adjusted to correct the reimbursement of previously paid claims.

Please note: We are working diligently to correct the system at this time and will move forward with corrections once the system fix has been implemented into production. This will be a seamless process for our providers. We appreciate your patience during this time.