Eliminating Certificates of Medical Necessity & Durable Medical Equipment Information Forms - January 1, 2023

All Certificates of Medical Necessity (CMNs) and Durable Medical Equipment (DME) Information Forms (DIFs) will be discontinued effective for dates of service January 1, 2023 and after.

If CMNs or DIFs are included on any claims with dates of service on or after January 1, 2023, the claims will be rejected. Claims with dates of service prior to January 1, 2023 should still include CMN and DIF information in accordance with DME MAC processing and policy guidelines.

CEDI recommends contacting your vendor or programmer to verify your claims software product will be ready for this change.

CEDI will provide updates when changes will be implemented to the PC-ACE software and the CEDI Claims Portal.

Please contact the CEDI Help Desk regarding any questions at ngs.cedihelpdesk@anthem.com or at 866-311-9184.

 

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