Prior to reimbursing bills for DME products, some claims administrators incorrectly request providers to supply proof of purchase. With the exception of a dangerous device, this request for proof of purchase is not allowed.
To the extent a payer incorrectly denies payment for a DME product by requesting proof of purchase, DaisyBill recommends submitting a timely appeal using the following appeal reason:
"Pursuant to Labor Code 5307.1, an invoice is not required for this DME. The DME product is listed on Medicare’s DMEPOS fee schedule and does not meet the definition of a 'Dangerous Device' as defined by California Business and Professions Code Section 4022:
California Labor Codes
Division of Workers’ Compensation Websites
DWC Official Medical Fee Schedule
DaisyBill Solution
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