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Ordering provider required for DMERC claims

Rejection Message Rejection Details Resolution

Ordering provider required for DMERC claims

 

This rejection indicates that 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.

NOTE: The TOS and the DME code selected will not be transmitted on the claim electronically.

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

  1. Click Encounters > Find Encounter.
  2. Click on the All tab.
  3. Look for and double-click on the encounter that needs correcting.
  4. Click Referring Provider and select the provider.
  5. On the procedure line, click the drop-down arrow next to 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.