My claim is denying CO-184 (the prescribing/ordering provider is not eligible to offer/prescribe/order/perform the service billed). What can I do?
CO-184 denials must be appealed through Redeterminations. In your appeal, include documentation from the prescribing/ordering provider showing they are eligible to prescribe/order DMEPOS items for Medicare beneficiaries. Be sure to include the provider’s correct NPI number and any other necessary documentation (such as the written order) when submitting a redetermination request.
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