Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 150.1.5
Assigned Claims Denied on the Basis of Failure of the Supplier
150.1.5 - Assigned Claims Denied on the Basis of Failure of the Supplier
to Meet Supplier Number Requirements
(Rev. 1, 10-01-03)
For assigned 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.