Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 150.1.3
Unassigned Claims Denied on the Basis of Failure of the
150.1.3 - Unassigned Claims Denied on the Basis of Failure of the
Supplier to Meet Supplier Number Requirements
(Rev. 1, 10-01-03)
For unassigned claims denied on the basis of failure of the supplier to meet supplier
number requirements under §1834(j)(1) of the Act, the term “medical equipment and
supplies” means:
• Durable medical equipment, as defined in §1861(n) of the Act;
• Prosthetic devices, as described in §1861(s)(8) of the Act;
• Orthotics and prosthetics, as described in §1861(s)(9) of the Act;
• Surgical dressings, as described in §1861(s)(5) of the Act;
• Home dialysis supplies and equipment, as described in 1861(s)(2)(F) of the
Act;
• Immunosuppressive drugs, as described in 1861(s)(2)(J) of the Act;
• Therapeutic shoes for diabetics, as described in 1861(s)(12) of the Act;
• Oral drugs prescribed for use as an anticancer therapeutic agent, as described
in 1861(s)(2)(Q) of the Act;
• Self-administered erythropoietin, as described in 1861(s)(2)(P) of the Act; and
• Such other items as the Secretary may determine.