RARC M11: DME, orthotics and prosthetics must be billed to the DME carrier who services the patient's zip code.
DME, orthotics and prosthetics must be billed to the DME carrier who services the patient's zip code.
What it means
The official X12 description: “DME, orthotics and prosthetics must be billed to the DME carrier who services the patient's zip code.”
In plain language: DME, orthotics and prosthetics must be billed to the DME carrier who services the patient's zip code.
What to do
Read the accompanying CARC for the primary denial reason; this RARC adds detail. Appeal or correct based on the CARC's appealability.
Frequently asked questions
What does RARC M11 mean?
DME, orthotics and prosthetics must be billed to the DME carrier who services the patient's zip code. In plain language: DME, orthotics and prosthetics must be billed to the DME carrier who services the patient's zip code.
What should I do when I see RARC M11?
Read the accompanying CARC for the primary denial reason; this RARC adds detail. Appeal or correct based on the CARC's appealability.
Related
Sources
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