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Ordering provider required for DMERC claims

 

Rejection Message

Ordering provider required for DMERC claims

Rejection Details

This rejection indicates the ordering provider is required.

In Kareo, the ordering provider is pulled from the Referring Provider field and will populate when the Type of Service (TOS) is a DME code.

Resolution

Follow the instructions below to add the Ordering Provider to the encounter:

  1. Click Encounters > Track Claim Status. The Find Claim window opens.
  2. Look for and double-click on the encounter that needs correcting. The Edit Claim window opens.
  3. Double-click on the Encounter number.  The Edit Encounter window opens.
  4. Click Referring Provider and select the provider.
  5. On the procedure line, click the drop-down under TOS.
  6. Select a DME related codes such as: A, J, K, L, P, Q, or R.
  7. Click Save & Rebill.

Then, resubmit all affected claims.




Encounter_ReferringProviderTOS.png