Mobility Management

  • Home
  • Topics
    • Automotive Mobility
    • Billing / Reimbursement
    • Government / Legislation
    • Home Accessibility
    • Pediatrics
    • Power Chairs
    • Seating & Positioning
    • Ultralightweights
  • News
  • Featured
  • Podcasts
  • Request Media Kit
  • Webinars
  • Subscribe
  • Digital Edition
  • Awards
  • Advertise

DME MACs: We’re Working on Accreditation Denial Problem

July 18, 2011 by Laurie Watanabe

Citing an error in supplier file information that was provided to them, the DME MACs are saying they are aware that DME claims are being denied as if the suppliers who submitted the claims aren’t accredited.

Both NHIC Corp. (Jurisdiction A) and CGS (Jurisdiction C, formerly known as CIGNA) sent out bulletins on Monday saying they know about the errors and are working on a resolution.

“NHIC is working closely with the NSC (National Supplier Clearinghouse), CMS (Centers for Medicare & Medicaid Services), the system maintainer and the other DME MACs as we diligently work toward a quick resolution,” NHIC said in its announcement. “NHIC is currently suspending the claims to avoid any additional unnecessary denials and confusion. NHIC will identify the impacted claims for our jurisdiction and will initiate an adjustment for automatic correction of the denials.”

NHIC added that suppliers will not have to resubmit claims that were incorrectly denied due to this error. CGS similarly noted, “We will automatically adjust all claims that have denied in error.”

Affected claims would show a B7 Remittance Advice Reason Code, which means “This provider was not certified/eligible to be paid for this procedure/service on this date of service.” Claims also may have said that providers could not appeal the denial decision.

NHIC asked providers not to contact them regarding B7 claims.

“As the solution and necessary actions to correct the issue are determined, NHIC will provide additional information to our supplier community,” the announcement said.

Related Articles Read More >

Motion Composites Celebrates Opening of New York Assembly Facility
The new facility will start with the assembly of select ultralightweight wheelchair models.
VGM Canada Seeks Nominations for 2025 Leader of the Year Program
Nomination are open through June 30, with the winner to be announced at the Canadian Seating & Mobility Conference.
Pride Mobility Launches Hard-Top Canopy for Outdoor Scooter Lines
New option for scooter lines enhances outdoor adventures.
UCP Letter: ‘Deeply Concerned’ About Budget Bill’s Impact on Disability Community
United Cerebral Palsy CEO Armando Contreras said the organization anticipates home-and-community-based services to be threatened.

GET THE FREE NEWSLETTER

Mobility Management Newsletter

Subscribe to Mobility Management's newsletter for industry & product news, trends and resources. Click here.
podcasts
Mobility Management
  • HME Business
  • Senior Housing News
  • Home Health Care News
  • Skilled Nursing News
  • Hospice News
  • Behavioral Health Business
  • Contact Us
  • About Us

Copyright © 2025 WTWH Media LLC. All Rights Reserved. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of WTWH Media
Privacy Policy | Advertising | About Us

Search Mobility Management

  • Home
  • Topics
    • Automotive Mobility
    • Billing / Reimbursement
    • Government / Legislation
    • Home Accessibility
    • Pediatrics
    • Power Chairs
    • Seating & Positioning
    • Ultralightweights
  • News
  • Featured
  • Podcasts
  • Request Media Kit
  • Webinars
  • Subscribe
  • Digital Edition
  • Awards
  • Advertise