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DME MAC Contractor Codes (Payer IDs): Jurisdiction B: 17013. Jurisdiction C: 18003.
A SWO must contain all of the following elements: Beneficiarys name or Medicare Beneficiary Identifier (MBI) Order Date. General description of the item. The description can be either a general description (e.g., wheelchair or hospital bed), a HCPCS code, a HCPCS code narrative, or a brand name/model number.
Standardized DMEPOS Written Order/Prescription Beneficiary name or Medicare Beneficiary Identifier (MBI) Number. Description of the item. Quantity, if applicable. Treating practitioner name or National Provider Identifier (NPI) Date of the order. Treating practitioner signature.
A prescription is an order that is written by you, the physician (or future physician), to tell the pharmacist what medication you want your patient to take.
Detailed written orders are used to confirm what was ordered by the treating physician following the suppliers receipt of a verbal or written dispensing order. Detailed written orders must include separately billable options, accessories or supplies related to the base item that is ordered.
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CIGNA Government Services is the DME MAC for Jurisdiction C. Jurisdiction C includes Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, U.S. Virgin Islands, Virginia, and West Virginia.
A DWO must contain the following: name of the beneficiary; date of the order; and a description of the items (by HCPCS code narrative or brand name/model number). All items that are separately billable must be listed on the DWO, including the frequency of use and quantity dispensed.
Standardized DMEPOS Written Order/Prescription Beneficiary name or Medicare Beneficiary Identifier (MBI) Number. Description of the item. Quantity, if applicable. Treating practitioner name or National Provider Identifier (NPI) Date of the order. Treating practitioner signature.

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