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Durable Medical Equipment (DME)
To see if precertification is needed for a patient, check eligibility and benefits through ProviderAccess or your practice management software. If precertification is required, you can begin the process through Eligibility and Benefits or by going directly to Pre-Service Review and entering the specific procedure code for the equipment you plan to provide for the patient.
For other durable medical equipment (DME), complete the DME Certification form to request precertification.