Assigned Claims Denied on the Basis of Not Being Reasonable

150.1.6 - Assigned Claims Denied on the Basis of Not Being Reasonable and Necessary (Rev. 1, 10-01-03) For assigned claims denied on the basis of not being reasonable and necessary under §1862(a)(1) of the Act, the term “medical equipment and supplies” means: • Durable medical equipment, as defined in §1861(n) of the Act; • Medical supplies, as described in §1861(m)(5) 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; or • Such other items as the Secretary may determine.