eRx Medicare DME™

eRx Medicare DME provides pharmacies a convenient solution for electronically billing Medicare DME claims at point of service using their existing pharmacy management system.

Features

• eRx Medicare DME real-time edits verify patient ID, doctor DEA/UPIN, diagnosis code, quantity, MAC price, refills, demographic information and more.
• The service supports compliance with Medicare policy, significantly reducing claim denials.
• Coordination of benefits is handled whether Medicare is the primary or secondary payer, and other insurance amounts are automatically reported to participating secondary payers.
• This billing service allows assignment to be accepted by the pharmacy or the patient.
• A value-add to the eRx Medicare billing services is the eRx Medicare Eligibility offering. This real-time edit provides the most current and accurate eligibility status for each Medicare beneficiary directly from CMS.